ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ SỎI THẬN BẰNG TÁN SỎI QUA DA ĐƯỜNG HẦM NHỎ DƯỚI HƯỚNG DẪN CỦA SIÊU ÂM TẠI BỆNH VIỆN XANH PÔN NĂM 2024

Abstract

Objective: To evaluate the result of percutaneous nephrolithotomy (PCNL) under ultrasound guidance in 830 patients at Xanh Pon Hospital from 2023 to 2024. Method: Descriptive cross-sectional study of 830 patients who underwent PCNL under ultrasound guidance at Xanh Pon Hospital from 2023 to 2024. Results: Average age: 50.6 ± 6.9 years; Male: 65.3%, Female: 34.7%; History of prior open stone surgery: 65/830 patients (7.8%); Mean stone size on CT scan: 24.5 ± 9.8 mm; Stone location: Renal pelvis 50.7%, Lower calyx 9.6%, Upper calyx 13.5%, Complex stones 21.7%, Staghorn stones 4.5%; Rate of patients without complications according to Clavien – Dindo classification: 792/830 patients (95.4%), Grade I 2.7%, Grade II 1.7%, 2 patients had Grade III complications (0.2%); Stone clearance rate at 3 days: 89.8%; Overall surgical outcomes: Excellent 91.6%, Fair 8.2%, Poor 0.2%. Conclusion: Ultrasound-guided percutaneous nephrolithotomy was a safe and effective method for the treatment of kidney stones, with a high stone clearance rate of 89.8% and a low complication rate of 4.6%.