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| Effectiveness and Safety of Tubeless-PCNL in Treatment of Upper Ureteral Calculi |
| LIANG Rongxing, GUO Jianjun, YUAN Pengfei, CAI Heng |
| Department of Urology, Sichuan Corps Hospital of Armed Police Forces , Leshan 614000, China |
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Abstract Objective To explore the clinical effect of percutaneous renal lithotripsy (tubeless-PCNL) with a micro channel of indwelling ureteral stents on the treatment of ureteral calculi.Methods The clinical diagnosis and treatment of 120 cases of ureteral calculi patients were analyzed retrospectively in a hospital between 2012 and 2014. Among these cases, 57 received traditional PCNL surgery (traditional group), and 63 received tubeless-PCNL treatment (tubeless-PCNL group). Indications for surgery, postoperative recovery and complications were statistically analyzed between the two groups.Results The operation time(59.3?.2)min, postoperative 24h VAS score(2.40?.81),analgesic usage(6.35%),length of hospital stay(6.3?.5)d of patients in tubeless-PCNL group were significantly lower than those in traditional group, and the difference was statistically significant (P<0.05,P<0.01). There was no significant difference in hemoglobin (P>0.05), HCT or fever between the two groups . The incidence of perirenal effusion(11.1%),postoperative urgent urination(3.2%),hematuria(7.9%),low back pain(4.8%) of patients in tubeless-PCNL group was significantly lower than in traditional group, and the difference was statistically significant(P< 0.05).Conclusion Tubeless-PCNL treatment of upper ureteral calculi has the advantages of a short operation time, quick recovery, low degree of pain and low complication rate.
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Published: 14 September 2016
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2016, Vol. 34 
