PERCUTANEOUS REMOVING OF KIDNEY STONE UNDER ONLY ULTRASONIC CONTROL

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Abstract

The study included the outcome of percutaneous treatment for nephrolithiasis in 176 patients, who were divided in two groups. Ninety patients (Group 1) underwent PNCL with combined ultrasound and radiological guidance, 86 patients (Group 2) underwent surgery with only ultrasound guidance. The inclusion criteria were the cases with renal pelvis stones larger than 2,0 cm diameter. Postoperative complications (exacerbation of chronic pyelonephritis, macrohematuria) were observed in 13 (14,4%) patients in Group 1 and in 6 (7,0%) in Group 2. There was no significant differences in effectiveness of PCNL, the volume of blood loss and duration of hospitalization. In Group 1 and Group2 the effectiveness of PCNL was 94,4% and 93,0% respectively. In Group 1, 5 (5,6%) required additional intervention. In Group 2, 6 (7,0%) patients required additional intervention. The efficiency of ultra- sound guided PCNL is comparable with this of conventional PCNL. In addition, the radiation exposure of patients and medical staff is reduced during ultrasound guided PCNL.

About the authors

B G Guliev

Северо-Западный государственный медицинский университет имени И.И. Мечникова

E O Stetchik

Северо-Западный государственный медицинский университет имени И.И. Мечникова

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