Micro-channel percutaneous pneumatic lithotripsy in the treatment of infectious staghorn calculi
LiQiang
YaoWeixiang
ChenFengting
LinYufeng
ZouGe
LiJiexian
WangMinhua
Abstract：Objective:To improve the ability of treat infectious staghorn calculi with micro-channel percutaneous pneumatic lithotripsy.Methods:From 2009 january to 2014 june,there were 73 patients (77 sides)with infectious staghorn calculi underwent micro-channel percutaneous pneumatic lithotripsyin our hospital.We analyze the clinical data of the 73 patients retrospectively ,count the operation time,decrease of Hb,transfusion rate,one-staged stone clearance rate,incidence of postoperative fever and complications.Results:Allpercutaneous renal accesses in 73 cases (77 sides)were successfully established and the one-staged percutaneous nephrolithotomy were performed.The op-eration time of the one-staged percutaneous nephrolithotomyranged from 51.7 to 212.0 min,average (102.3±42.2) min.The decrease of Hbranged from 9 to 47 g/L,average (17.3±5.4)g/L.7.8%(6/77)operations received blood transfusion.The one-staged stone clearance rate was 74.0%(57/77)and the one-stagedclearance rate increased to 81.8% (63/77)after ESWL. Postoperative fever incidence was 10.4%(8/77).1 patient received super selective re-nal artery embolization. 1 patient had uroseptic shock,no peripheral organ damage and no deaths.Conclusions:In condition that operation skills are fully mastered,the preoperative risk is controlled and the postoperative manage-ment is improved,its a safe and effective method to treat infectious staghorn calculi with micro-channel percutaneous nephrolithotomy pneumatic lithotripsy,It is worth recommending.
Keywords：infectious staghorn calculimicro-channelpercutaneous nephrolithotomypneumatic lithotripsyefficacy
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 290-295 )