2007•Practical Clinical MedicineRequires access

Treatment of Upper Urinary Tract Stones with Minimally Percutaneous Nephrolithotomy

Gongxian Wang

Abstract

Objective:To evaluate the applications of minimally invasive Percutaneous nephrolithotomy(MPCNL) in upper urinary tract Stones.Methods:From October 2005 to November 2006,60 patients with upper urinary Stones were submitted MPCNL.It was reviewer and evaluated.Results: Among 60 cases,58 achieved one-stage MPCNL,other 2 cases were charged to open operation,28 cases were free after one-stage MPCNL,18 cases were stone free second stage MPCNL,12 cases were stone free after third stage MPCNL.The total stone free rate was 86.67%.The average operation time was 150 minutes.Average 5 dais's time was need for nephrostomy tube in body,and average hospitalization was 10 days.Blood transfusion was need in 2 patients.In other 58 cases blood loss volume was about 30～200 mL with average of 70 mL;no major complication was occurrence.Conclusion: MPCNL is safe,minimally invasive,easy recovery,short hospitalization for treaties upper urinary stones.

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Key concepts: Medicine, Percutaneous nephrolithotomy, Upper urinary tract, Surgery, Nephrostomy, Urinary system, Blood transfusion, Stage (stratigraphy)