KẾT QUẢ TÁN SỎI QUA DA ĐƯỜNG HẦM NHỎ DƯỚI HƯỚNG DẪN SIÊU ÂM ĐIỀU TRỊ SỎI THẬN TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: To evaluate the results of mini percutaneous nephrolithotomy under ultrasound guidance for treatment of kidney stones at Thai Nguyen general hospital. Patients and methods: Cross-sectional description of 139 patients have been operated by mini percutaneous nephrolithotomy under ultrasound guidance for treatment of kidney stones at Thai Nguyen general hospital from January 2020 to May 2022. The patients have assessed and collected characteristics, the collected date is processed on the system statistics SPSS 25.0 software program. Results: The average age is 52,99 ± 11,64 years. Mean stone size was 28,96 ± 10,61 mm, stone size over 30mm was 43,9%. The number of stones over 1 was 66,2%. Stones in renal pelvis-calyx were 80,6% (112/139 patients); 60,4% patients were GSS grade III and IV. The stone free rate after the first operating was 53,2%; 20,9% patients were performed the second operating and the stone free rate after 1 month was 63,3%. The rate of complications was 15,1%, including 10,1% fever post-operative; 0,7% bleeding without transfusion; 2,9% bleeding with transfusion; 7,1% seroma around kidney; 0,7% angioembolization due to kidney artery injury; 0,7% spleen injury; 0,7% septic shock. Overall outcome after mini-PCNL: Good 59,7%; average 40,3% and bad 0%. Conclusion: Mini percutaneous nephrolithotomy under ultrasound guidance for treatment of kidney stones is the efficacy, safety methods.