Percutaneous Nephrolithotomy With Soft Mirror Ureter Stone Extraction For Clinical Analysis Of Sample Treatment Of Staghorn Kidney Stones

ObjectiveComparison and evaluation of percutaneous nephrolithotomy with soft mirror ureter stone extraction for treatment of staghorn kidney stones clinical value. Object and MethodsAccording to the access to relevant data and actual visit records, analyzes the a hospital between January 2009 and March 2014 89 patients who underwent percutaneous nephroscope ultrasonic lithotripsy removed and soft mirror ureter stone extraction for treatment of casting. The clinical data of patients with kidney stones, renal ultrasound, double renal imaging modalities such as CT or KUB+IVU diagnosis for patients with kidney stones, antlers meet into the group and exclusion criteria. Preoperative cases two groups in age, diameter, stones, preoperative serum creatinine concentration, volume culture positive rate of urinary tract infection, urinary had no significant difference in such aspects. Collected from two groups of operation time, hemoglobin loss, surgical success rate, stone net rate and postoperative infection rate. Complication rates in terms of data and statistical analysis. ResultsPercutaneous nephroscope(PCNL) group operating time 30-86 min, an average of 46 min; Postoperative hemoglobin loss for 4-36 g/L, an average of 14 g/L; Postoperative 21 cases with mild anemia blood transfusion treatment, 3 cases had moderate anemia, renal artery consumes one super optional routine sex plug, 4 cases of postoperative fever, the incidence of complications was 53.8%(28/52); Surgical success rate 94.2%(49/52); Take the net rate was 91.8%(45/49) stones. Soft ureter mirror(URL) group operating time 35-175 min, the average 58 min; Postoperative hemoglobin loss of 0 to 6 g/L, an average of 2 g/L; 4 cases with mild anemia, 3 cases of postoperative fever, the incidence of complications was 18.9%(7/37); Surgical success rate 94.6%(35/37); Stone take net rate was 85.7%(30/35). ConclusionSuffer for the treatment of renal mirror(PCNL) antler shape kidney stone has the advantages of little injury, fewer complications, curative effect, but suffer kidney mirror(PCNL) technique has certain damage to the renal parenchyma, can lead to bleeding, need a blood transfusion treatment, even super selective renal artery embolization. Line for the treatment of ureteral soft lens(URL) antler shape kidney damage are smaller and less complications, noninvasive, and curative effect, especially in the treatment of staghorn shape kidney stones combined scoliosis has unique advantages such as complexity, kidney stones. But ureter soft contact lenses(URL) surgery surgery and anesthesia at the same time there is a long time, the stones to take the net rate and other defects.