Percutaneous nephrolithotomy (PCNL) with the single channel double sets of catheter sheath method in the management of complicated ureteric calculus
10.3969/j.issn.1007-1989.2017.08.019
- VernacularTitle:单通道双导管套鞘法经皮肾镜碎石术治疗复杂性输尿管中上段结石的疗效观察
- Author:
Zhijun LI
;
Yong LI
;
Zhigang LUO
- Keywords:
percutaneous nephrolithotomy;
double sets of catheter sheath method;
complicated ureteric calculus
- From:
China Journal of Endoscopy
2017;23(8):91-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of the percutaneous nephrolithotomy (PCNL) with the single channel double sets of catheter sheath method in the management of complicated ureteric calculus. Methods The clinical data of forty-eight cases with complicated ureteric calculus were retrospectively investigated. Among them, 18 cases with ipsilateral kidney calculus, 1 case with repeat renal deformity, within the ureteral calculus in upper kidney. Results 48 patients smoothly under ulime from ultrasound guided puncture percutaneous renal channel is established successfully, The establishing the channel to setting the double sheath to the ureteropelvic junction was (18.0 ± 5.0) min, the operation time was (59.0 ± 6.0) min, the stone free rate was 96.6% and no significant complications, such as septic shock, intraoperative or postoperative bleeding and damage to surrounding organs, were detected. The patients were followed up for 3 to 6 months, the degree of hydronephrosis significantly reduced and no ureteral stricture were developed during the period. Conclusion The percutaneous nephrolithotomy (PCNL) with the single channel double sets of catheter sheath method is safe and effective for complicated ureteral calculus.
