Comparative study on clinical therapeutic effect of B ultrasound and X-ray locating percutaneous nephrolithotomy for treatment of upper urinary tract calculi
Li Gang1, Liu Zhongwen1, Zhang Yang1, Chen Qiang1, Hu Peng1, Chen Zhiyong1, Ding Wei1
1Department of Urology, Mianzhu People's Hospital, Mianzhu 618200, China
Abstract：Objective: To investigate the clinical efficacy of percutaneous nephrolithotomy for the treatment of upper urinary tract calculi by the B ultrasound and X-ray localization. Methods: The clinical data of 300 cases of upper urinary calculi in Department of Urology of our hospital from 2010 February to 2013 December were retrospectively analyzed. The patients were divided into X-ray positioning group (164 cases) and B ultrasound positioning group (146 cases) according to the positioning modes. Some perioperative data were compared. Results: The puncture time (10.3±4.2 min) and operation time (103.5±27.5 min) were shortened, the amount of hemorrhage in puncture (45.8±9.8 mL), intraoperative blood loss (96.7±34.8 mL) and puncture times (1.72±0.84) were reduced in X-ray positioning group as compared with B ultrasound positioning group (P<0.05 for all). There was no significant difference in the hospital stay between two groups (P>0.05). The postoperative infection rate (8.54%), postoperative bleeding rate (3.66%), and organ injury after operation (0%) in X-ray positioning group were not significantly different from those in B ultrasound positioning group(P>0.05). The rate of residual stones in the X-ray positioning group (7.93%) was significantly lower than in the B ultrasound positioning group (15.07%). Conclusions: The X-ray guided percutaneous nephrolithotomy for treatment of upper urinary tract calculi has shorter time, less bleeding and lower postoperative residual stones rate, etc, which is worthy of clinical application.
李钢,刘中文,张杨,陈强,胡鹏,陈智勇,丁伟. B超和X线定位经皮肾镜治疗上尿路结石的临床疗效对比研究[J]. 微创泌尿外科杂志, 2015, 4(2): 95-98.
Li Gang, Liu Zhongwen, Zhang Yang, Chen Qiang, Hu Peng, Chen Zhiyong, Ding Wei. Comparative study on clinical therapeutic effect of B ultrasound and X-ray locating percutaneous nephrolithotomy for treatment of upper urinary tract calculi. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(2): 95-98.
