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- W2393083454 abstract "Objective To investigate the efficacy and safety to treat upper urinary tract calculi with B ultrasound-guided percutaneous nephrolithotomy and pneumatic lithotripsy(PCNL) in conjunction with holmium laser and ultrasound. Methods From January 2006 to June 2011,381 patients with upper urinary tract calculi underwent PCNL under the guidance of B ultrasound,and a F20 working channel was established.A combination of holmium laser and ultrasonic lithotripsy was adopted in the therapy.The procedures,stone clearance rate,operative time and complications were analyzed respectively. Results Of the 381 cases,376 patients underwent PCNL at Phase I lithotripsy.The puncture from skin to kidney succeeded and the F20 renal channels were established successfully in these patients.The operation ended in five cases due to the bleeding of the percutaneous renal tract established.The total stone-free rate was 93.6%(352/376).Of the 287 cases of kidney stone,the stone-free rate after Phase I operation was 70.0%(201/287).As to the 65 cases of upper ureter stone,the stone-free rate after Phase I operation was 95.4%(62/65).Phase Ⅱ lithotripsy was performed in 48 cases.Twenty-three cases with residual stones of 0.5-1.0 cm received adjuvant extracorporeal shock wavelithotripsy while 23 cases with stones less than 0.4 cm discharged stones completely after conservative therapy.The average operative time was(110.5±28.6)min.The average blood loss was(104±37.2)ml.Five patients were given blood transfusion.The duration of nephrostomy tube indwelling averaged 8 days and the postoperative hospital stay 9 days.Three patients with severe hemorrhage were cured with superselective angiographic embolization.Giant perirenal hematoma occurred in one case and was cured with conservative therapy.One patient suffered pneumothorax after the operation,which was cured with closed thoracic drainage.Low fever(39℃) was found in 31 patients after the operation,and high temperature occurred in 5 cases. Conclusions Treating upper urinary tract calculi with B ultrasound-guided percutaneous nephrolithotomy and pneumatic lithotripsy(PCNL) in conjunction with holmium laser and ultrasound features minor trauma,high success rate and few complications and is a safe and reliable therapy for upper urinary tract calculi." @default.
- W2393083454 created "2016-06-24" @default.
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- W2393083454 date "2012-01-01" @default.
- W2393083454 modified "2023-09-23" @default.
- W2393083454 title "Clinical Effects of B Ultrasound-Guided Percutaneous Nephrolithotomy and Pneumatic Lithotripsy with Holmium Laser and Ultrasound on Upper Urinary Tract Stones" @default.
- W2393083454 hasPublicationYear "2012" @default.
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