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- W3032019056 abstract "Objectives To evaluate the safety and therapeutic effect of mPCNL (mini - invasive percutaneous nephrostolithotripsy) of F12 to F16 in renal calyceal stones under the guidance of B - mode combined with color Doppler ultrasonography.Methods From May 2009 to August 2011,a total of 44 cases of renal calyceal stone failed in treatment with ESWL and negative stone under X ray,including 24 cases in lower pole calices,11 cases in middle calices,9 cases in lower pole calices with a tree branch like collection system.The maximum length of the stones were (16.14 ± 5.12 )mm.All procedure were under the guidance of B -mode combined with color Doppler,and the pneumatic lithotripsy were used to fragmentate the stone.Results All 44 cases were treated by one - stage PCNL,inculding single tract in 36 kidneys,dual -tract in 9 kidneys.Tracts were eastablished in 9 cases of upper pole calices,11 cases of middle calices and 33 in lower pole calices respectively.The one - stage stone free rate was 97.73％ (43/44) with the operation time of (49.3 ± 10.9 ) min.The hemoglobin declined by ( 9.13 ± 3.7 ) g/L postoperatively when compare with their preoperative counterpart.No perioperative bleeding was recording,and no transfusion was requied.Infection rate related to operation was 6.18％ (3/44),which demostrated by fever.No case experience pneumothorax or peritoneal injury.The follow up duration range from 6 to 20 months ( mean 11.4 months).Residuary stone discharge was observed in 1 case.The recurrence rate of renal stone was 2.27％ (1/44) duing 6 months of follow up,which increased to 6.18％ (3/44) after 1 year.Conclusions Using combined B - mode and color Doppler ultrasound guidance during m - PCNL resulted in safe and effective therapeutic method for calyceal calculus,and can be considered as treatment of choice for this kind of stones.Key words: Kidney Calculi; Endoscopy; Lithotripsy" @default.
- W3032019056 created "2020-06-05" @default.
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- W3032019056 date "2012-01-15" @default.
- W3032019056 modified "2023-09-24" @default.
- W3032019056 title "Treatment of renal calyceal stones under the guidance of ultrasonography by mPCNL" @default.
- W3032019056 doi "https://doi.org/10.3760/cma.j.issn.1673-4416.2012.01.013" @default.
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