Minimally Invasive Percutaneous Nephrolithotomy in Treatment of Impacted Proximal Ureteric Calculi
- VernacularTitle:微创经皮肾镜取石术治疗输尿管上段嵌顿性结石
- Author:
Yigang ZUO
;
Changxing KE
;
Delin YANG
;
Jiansong WANG
;
Mingxia DING
;
Jingyu LIU
- Publication Type:Journal Article
- Keywords:
Ureteric calculi;
MPCNL;
Minimally invasive
- From:
Journal of Kunming Medical University
1986;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the surgical method and curative effect of minimally invasive percutaneous nephrolithotomy(MPCNL) in treatment of impacted proximal ureteric calculi.Methods 45 cases of proximal ureteric calculi treated with MPCNL were studied retrospectively.Percutaneous nephrostomy was established under the guide of X-ray,B-ultrasound and naked eye,and the nephropathy was extended to F16 through invasive percutaneous.Stones were taken out by ureteropyeloscopic pneumatic lithotripsy with help of hydraulic perfusion pump.Results The surgical time was 15～110 min with the average of 42 min after percutaneous nephrostomy.The average blood loss volume was 30 mL;no severe complications were occurred in the intra-or post-operative time.The rate of complete clearance of stones was 100% in first attempt.The mean hospital stay was 9 d,and the mean postoperative hospital stay was 3.5 d.Conclusion MPCNL used to treat the impacted proximal urethral calculi have satisfied effects and a lot of merits.
