Combined percutaneous nephrostomy and ureteroscopic lithotripsy in the treatment of calculous obstructive pyonephrosis

VernacularTitle:经皮肾穿刺造瘘术联合输尿管镜碎石术治疗梗阻性肾积脓86例体会
Author: Bing LIU ; Xue GONG ; Tao SONG ; Ning LI ; Yili LIU ; Ping WANG
Publication Type:Journal Article
Keywords: Ureteral calculi; Pyonephrosis; Nephrostomy,percutaneous; Ureteroscopes; Lithotripsy
From: Chinese Journal of Urology 2010;31(5):308-310
CountryChina
Language:Chinese
Abstract: Objective To summarize the clinical experience of combined percutaneous nephrostomy(PCN)and ureteroseopic lithotripsy(URL)in the treatment of calculous obstructive pyonephrosis. Methods A total of 86 cases were underwent combined PCN and URL. Results Sixty-nine cases with lower ureteric calculi were treated successfully.During lithotripsy,calculous fragments migrated into renal pelvis in 6 of 17 cases with middle and upper ureteric calculi.These patients were placed with DJ stents and received antibiotics.The fragments passed OUt from 7 t0 16 days postoperatively.The rest 11 cases were placed with DJ stents and received antibiotics as well. They were accepted ESWL aher 2 or 3 weeks.The average operation time was 51 mins.No complication such as infection exacerbation,bacteremia,sepsis and shock occurred. Conclusions Combined PCN and URL is an effective and safe minimally invasive method tot treatment of calculous obstructive pyonephrosis.