Efficacy of percataneous nephrolithotomy without keeping nephrostomy drainage
- VernacularTitle:经皮肾镜取石术后不留置肾盂造瘘管的疗效评价
- Author:
Xiaofeng GAO
;
Shushang CHEN
;
Tie ZHOU
;
Linhui WANG
;
Chuanliang XU
;
Xu GAO
;
Jianguo HOU
;
Yinghao SUN
- Publication Type:Journal Article
- Keywords:
Nephrostomy,pereutaneous;
Tubeless;
Nephrostomy drainage
- From:
Chinese Journal of Urology
2008;29(10):675-677
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of percutaneous nephrolithotomy (PCNL) forupper ureterie calculi or renal calculi without keeping nephrostomy drainage. Methods A total of240 patients with upper ureteric calculi or renal calculi undergoing PCNL were selected and randomizedto receive no nephrostomy drainage (Group A,120 patients) or a standard (14 F) nephrostomy drain age (Group B,120 patients) after lithotripsy was finished. Inclusion criteria included no urinary infec tion history,one stage operation,single percutaneona tract,no operative bleeding and no need for see ond percutaneous operation. The pain score,the number of patients requiring postoperative analgesiaand the incidence of urine leakage as well as postoperative hospital stay time of the 2 groups were not ed and compared. Results Compared with Group B,patients in Group A got lower pain scores at6 h,1 d and 2 d after the operation (4.2±1.5,2.1±1.6 and 1.2±1.0 vs 5.5±2.4,3.9±1.5 and2.5±1.5,respectively,P<0.01),with fewer patients requiring postoperative analgesia (15.0% vs26.7%,P<0.05),lower incidence of urine leakage (2.5% vs 23.3%,P<0.01) and shorter postop erative hospital stay (1.7±0.6 dvs 3.1±1.1d,P<0.01). Conclusion For selected patients,takeaway nephrostomy drainage right after PCNL could be considered as an effective method to get lesspostoperative pain,lighter economic burden and shorter recovery time.
