Department of Urology, The Second Affiliated Hospital of Guilin Medical College, China.
Department of Urology, Gongcheng County Hospital of TraditionalChinese Medicine, China.
J Pak Med Assoc. 2022 Jun;72(6):1198-1200. doi: 10.47391/JPMA.3295.
The purpose of this study was to investigate the effect of percutaneous nephrolithotripsy guided by B-ultrasound in the treatment of complex renal calculi. A total of 82 patients with complex renal calculi were selected, who underwent percutaneous nephrolithotripsy guided by B-ultrasound. The average operation time was 101.52±8.35 minutes, the average intraoperative bleeding volume was 132.86±7.22 ml, the average hospital stay was 10.47 ±1.68 days, the primary calculi clearance rate was 85.37% (70 cases), and the secondary calculi clearance rate was 95.12% (78 cases). Postoperative complications occurred in 18 (21.95%) cases, including fever in 13 (15.85%), residual stone in 4 (4.88%), and delayed bleeding in 1 (1.22%) case. The findings show that percutaneous nephrolithotripsy guided by B-ultrasound is safe and effective in the treatment of complex renal calculi and is suitable for popularisation and application in primary hospitals.
本研究旨在探讨 B 超引导经皮肾镜碎石术治疗复杂性肾结石的效果。共选择 82 例复杂性肾结石患者，行 B 超引导经皮肾镜碎石术。平均手术时间为 101.52±8.35 分钟，术中平均出血量为 132.86±7.22ml，平均住院时间为 10.47±1.68 天，一期结石清除率为 85.37%（70 例），二期结石清除率为 95.12%（78 例）。术后发生并发症 18 例（21.95%），其中发热 13 例（15.85%），残石 4 例（4.88%），迟发性出血 1 例（1.22%）。结果表明，B 超引导经皮肾镜碎石术治疗复杂性肾结石安全有效，适合在基层医院推广应用。
