ExperienceofUltrasound-GuidedmPCNLinPrimaryHospital基层.PDF

Asian Case Reports in Surgery 亚洲外科手术病例研究, 2015, 4(3), 11-14 Published Online September 2015 in Hans. /journal/acrs /10.12677/acrs.2015.43003 Experience of Ultrasound-Guided mPCNL in Primary Hospital Decai Zhu, Xiangjun He, Jie Xiong, Yajun Gong, Zhonghua Zheng Department of Urology, First People’s Hospital of Bijie, Bijie Guizhou nd th st Received: Nov. 2 , 2015; accepted: Nov. 27 , 2015; published: Dec. 1 , 2015 Copyright © 2015 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract Objective: To investigate the feasibility and safety of ultrasound-guided minimally invasive per- cutaneous nephrolithotomy in primary hospital. Methods: The ultrasound-guided minimally inva- sive percutaneous renal biopsy clinical data of 283 patients suffering from kidney stones, upper ureteral calculi were analyzed, including staghorn calculi in 32 cases, multiple kidney stones in 82 cases, solitary kidney stones in 85 cases; upper ureteral calculi in 54 cases; kidney stones concur- rent ipsilateral upper ureteral stones in 30 cases, renal dysfunction in 151 cases. Preoperative as- sessment, intraoperative blood loss, laparotomy reason, postoperative residual stone rate, the second surgery and hospital stay were analyzed. Results: 283 patients underwent a period of li- thotripsy, stone clearance rate of 86.8%, the average operative time 110 min, average blood loss was 200 ml, the average hospital stay 11 d, of which 5 do blood transfusion, two cases of conver- sion to open surgery to stop bleeding. There are no patients with kidney resection or post- operative deaths in the whole group.