Clinical application of visual standard channel combined with visual superfine channel PCNL precision puncture in treatment of complex renal calculi
10.3969/j.issn.1007-1989.2017.07.023
- VernacularTitle:可视标准通道联合可视超细通道经皮肾镜取石术精准穿刺治疗复杂性肾结石的临床应用
- Author:
Keyi ZHOU
;
Chunli ZHAO
;
Wenzeng YANG
;
Zhenyu CUI
;
Tao MA
;
Yanqiao ZHANG
- Keywords:
visual standard channel;
visual superfine channel;
percutaneous nephrolithotomy;
precise puncture;
complex renal calculi
- From:
China Journal of Endoscopy
2017;23(7):109-112
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy and safety of visual standard channel combined with visual ultrafine channel PCNL precision puncture in treatment of complex renal calculi. Methods From June 2015 to October 2016, 48 cases of complicated renal calculi were treated with multi-channel lithotripsy with visual standard channel ultrasonic pneumatic lithotripsy combined with visual superfine channel PCNL precision puncture holmium laser lithotripsy. Including 10 cases of staghorn stone, 38 cases of multiple renal stones. Results 110 channels were established in 48 patients. 4 cases of preoperative renal insufficiency with infection in the puncture found in the pus and stones load larger, intraoperative diarrhea and PCNL simple treatment of obstruction site stones; 44 cases to complete one of the surgery: There were single channel established in every one of 5 cases, and double channels established in every one of 24 cases, three channels in established in every one of 15 cases; There were two cases of surgery in 8 cases and there were 12 new channels established. The average time of unilateral first operation was 75 (35 ~ 125) min. The first clearance rate was 79.2% (38/48), and the total clearance rate of postoperative stone was 87.5% (42/48). 6 cases of residual stone combined with ESWL and drug row of stone, followed up for 3 months, 6 cases of stone row net, the total stone clearance rate of 100.0% (48/48). Two consecutive postoperative no sepsis, bleeding, ureteral injury and other serious complications. Conclusions Visual standard channel combined with visual superfine channel PCNL precise puncture for the treatment of complex renal calculi is safe and effective, with high fruiting rate and low complication, which can be popularized in clinical practice.
