Abstract：To investigate the clinical value, safety and efficacy of percutaneous balloon dilation in the treatment of complex renal calculi. Methods: A retrospective analysis was performed on the clinical data of 89 cases of complicated renal calculi admitted in our hospital from January 2014 to April 2015. According to the channel expansion modes, the patients were divided into balloon group (using balloon dilatation to F24, n=43) and fascia dilator group (using fascia dilator to F24, n=46), Ther were no statistically significant difference in gender, age, stone location and size between two groups (P>0.05). The time of channel establishment, the success rate of one-time channel establishment, the complications of puncture, stone removal rate, stone clearance rate, postoperative bleeding and fever were recorded. Results: In balloon group and fascia dilator group, the time of channel establishment [(6.1±1.6) and (9.6±1.9) min], one time success rate of channel establishment was 100% and 89%, stone clearance time was (38.2±3.8) and (51.8±2.4) min, stone clearance rate was 93% and 76%, postoperative decreased value of hemoglobin was (16.1±2.9) and (27.9±1.4) g/L and postoperative fever rate was 14% and 35%, with the differences being statistically significant (P<0.05 for all). All patients had no pleural and peritoneal injury, and the adjacent organs were not injured. Conclusions: The application of balloon dilatation method in the establishment of F24 percutaneous renal passage is fast and safe, and has high success rate and less bleeding. The stone removal rate is higher and complications are less using balloon dilatation method in complex renal calculi with percutaneous nephroscope set.
侯毅，陈晓亮，孔祥波，王志新. 球囊扩张法经皮肾镜治疗复杂肾结石的临床研究[J]. 微创泌尿外科杂志, 2016, 5(2): 84-86.
Hou,Yi,Chen,Xiaoliang,Kong,Xiangbo,Wang,Zhixin. Clinical study on the treatment of complex renal calculi by percutaneous nephroscope with percutaneous balloon dilation. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(2): 84-86.
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