Clinical study of combination of mini-percutaneous nephrolithotomy and ureteroscopic lithotripsy in the treatment of non-hydronephrotic staghorn calculi
10.3760/cma.j.issn.1673-4904.2009.11.002
- VernacularTitle:微创经皮肾穿刺取石术联合输尿管镜碎石术治疗非肾积水型肾鹿角形结石
- Author:
Xinli YU
;
Ronghai WU
;
Jian PANG
;
Lixin CHEN
;
Yongbin LIAO
;
Xiaosheng HUANG
;
Zhouping CHENG
;
Qiping LIN
;
Ming SUN
- Publication Type:Journal Article
- Keywords:
Nephrostomy,percutaneons;
Ureterscopes;
Kidney calculi;
Hydronephrotic
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(11):6-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the safety and the curative effect of the combination of minipercutaneous nephrolithotomy (mini-PCNL) and ureteroscopic lithotripsy (URL) in the treatment of nonhydronephrotic staghorn calculi. Methods The clinical data of 53 eases with non-hydronephrotic staghom calculi treated by mini-PCNL combined with URL were retrospectively analyzed. Results Fifty-three cases (64 renal units) were performed first-stsge operation, 9 renal units were stone free in first-stage operation, 33 renal units were stone free in second-stage operation, other 13 renal units were stone free in third-stage operation. A complete stone clearance rate of 85.9%(55/64) was achieved, and after one to three sessions of mini-PCNL and extracorpereal shock wave lithotripsy afterwards that increased to 95.3% (61/64). Blood transfusion was performed in 3 cases, no major complication was noted in the patients. Conclusions The combination of mini-PCNL and URL has more advantages, less invasions, easier recovery and less complications. It provides a new minimally invasive way for non-hydronephrotic staghorn calculi.
