Ultrasonography-guided Percutaneous Nephrolithotomy with Chinese One-shot Tract Dilation Technique Based on Stimulated Diuresis:A Report of 67 Cases

作     者：Ying SHI Hua-geng LIANG Xiong YANG Bo HAI Liang WANG Yi-fei XING Wen JU Fu-qing ZENG Xiao-ping ZHANG Wen-cheng LI 石瑛;梁华庚;杨雄;海波;汪良;邢毅飞;鞠文;曾甫清;章小平;李文成

作者机构：Department of Urology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan 430022 China 

出 版 物：《Journal of Huazhong University of Science and Technology(Medical Sciences)》 (华中科技大学学报（医学英德文版）)

年 卷 期：2016年第36卷第6期

页      面：881-886页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：percutaneous nephrolithotomy dilation stimulated diuresis ultrasonography 

摘      要：The safety and effectiveness of a novel Chinese one-shot dilation technique based on stimulated diuresis for percutaneous nephrolithotomy（PCNL） were *** the feasibility of the Chinese one-shot dilation based on stimulated diuresis was verified by an animal study,this technique was applied in the clinical practice.A total of 67 patients in our department underwent the modified PCNL from July 2014 to June *** the renal infundibulum was distended by stimulated diuresis,the kidney was punctured under the ultrasonographic guidance via the fornix of the target *** working channel was dilated using a special designed pencil-shaped fascial *** successful access rate,nephrostomy tract creation time,pre-and postoperative hemoglobin values and serum creatinine concentrations,stone-free rate and complications were recorded and *** renal infundibulum was successfully distended in all of the patients by the diuresis *** the ultrasonographic guidance,the successful access rate was 100% and the mean tract creation time was 2.0 min（range：1.5–5.0 min）.The stone-free rate right after surgery was 91.0%.Although the postoperative hemoglobin was significantly reduced（P〈0.01）,transfusion was not clinically *** was no significant difference in serum creatinine concentrations before and after operation（P〉0.05）.No severe complication occurred during or after the *** was suggested that this Chinese one-shot dilation technique based on stimulated diuresis is an efficient and safe innovation for PCNL,and is even helpful for those patients with non-dilated pelvicaliceal systems.