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Single-Stage Multiple-Tract Percutaneous Nephrolithotomy in the Treatment of Staghorn Stones under Total Ultrasonography Guidance
Fei, Xiang1; Li, Jianxing2; Song, Yan1; Wu, Bin1
关键词Ultrasound Percutaneous nephrolithotomy Kidney stone
刊名UROLOGIA INTERNATIONALIS
2014-12-01
DOI10.1159/000364834
93期:4页:411-416
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]RADIATION-EXPOSURE ; RENAL-CALCULI ; ACCESS ; LITHOTRIPSY ; MANAGEMENT ; NUMBER
英文摘要

Objective: To evaluate the safety and efficacy of single-stage multiple-tract percutaneous nephrolithotomy (PCNL) in the treatment of staghorn stones solely guided by ultrasonography (US).

Patients and Methods: From May 2007 to July 2012, 55 single-stage multiple-tract PCNL procedures were performed (53 patients, of whom 2 had bilateral stones). Caliceal puncture and dilatation were performed under US guidance in all cases. The procedure was evaluated for access success, length of postoperative hospital stay, complications (modified Clavien system), and stone clearance.

Results: The mean (+/- SD) operating time was 84.87 +/- 24.9 min, with a mean (+/- SD) postoperative hospital stay of 5.2 +/- 1.31 days. The patients experienced a mean (+/- SD) decrease in hemoglobin level of 8.23 +/- 2.39 g/l and the stone-free rate after single-stage surgery was 78.18%. Extracorporeal shock wave lithotripsy was indicated in 2 cases as an auxiliary treatment. There were 10 grade 1 (62.5%) and 6 grade 2 (37.5%) complications; however, there were no complications above grade 3.

Conclusion: Total US-guided single-stage multiple-tract PCNL for treating staghorn calculi in selected cases is safe, feasible, and may be performed with an acceptable morbidity and with the advantage of preventing radiation hazards and damage to adjacent organs. (C) 2014 S. Karger AG, Basel

语种英语
WOS记录号WOS:000346915400008
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67822
专题北京大学第二临床医学院
作者单位1.China Med Univ, Sheng Jing Hosp, Div Urol, Shenyang, Peoples R China
2.Peking Univ, Peoples Hosp, Div Urol, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Fei, Xiang,Li, Jianxing,Song, Yan,et al. Single-Stage Multiple-Tract Percutaneous Nephrolithotomy in the Treatment of Staghorn Stones under Total Ultrasonography Guidance[J]. UROLOGIA INTERNATIONALIS,2014,93(4):411-416.
APA Fei, Xiang,Li, Jianxing,Song, Yan,&Wu, Bin.(2014).Single-Stage Multiple-Tract Percutaneous Nephrolithotomy in the Treatment of Staghorn Stones under Total Ultrasonography Guidance.UROLOGIA INTERNATIONALIS,93(4),411-416.
MLA Fei, Xiang,et al."Single-Stage Multiple-Tract Percutaneous Nephrolithotomy in the Treatment of Staghorn Stones under Total Ultrasonography Guidance".UROLOGIA INTERNATIONALIS 93.4(2014):411-416.
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