ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ SỎI THẬN SAN HÔ BẰNG PHƯƠNG PHÁP TÁN SỎI QUA DA ĐƯỜNG HẦM NHỎ TẠI BỆNH VIỆN ĐA KHOA TỈNH HẢI DƯƠNG NĂM 2020

Abstract

Objective: To evaluate the result of treatment of coral kidney stone by mini percutaneous nephrolithotomy at Hai Duong General Hospital in 2020. Methods: Descriptive cross – sectional study of 52 patients with coral kidney stone undergone treatment treated with mini percutaneous nephrolithotomy at Hai Duong General Hospital in 2020. Results: The mean age was 54.9 ± 11.9 years old; The mean stone size on computed tomography was 28.1 ± 5.6 mm; Number of stones: 1 stone was 69.2%, 2 stones was 7.7% and 3 or more stones was 23.1%; Classification of stones: coral stones with 2/52 patients, partial coral stones with 50/52 patients (96.2%); Number of punctures: 1 time was 84.6%, 2 times was 11.5% and 3 times was 3.8%; Number of tunnels: 1 tunnel with 37/52 patients (71.2%), 2 tunnels with15/52 patients (28.8%); Probe time: 13.31 ± 6.14 minutes; The rate of complications after surgery was 25% with 13/52 patients; The rate of stone removal after 3 days was: 67.3%, after 1 month was 80.8%; Overall outcome after surgery: Good was 67.3%, average was 30.8%, bad was 1.9%. Conclusion: Treatment of coral kidney stones by mini percutaneous nephrolithotomy at Hai Duong General Hospital is safe and effective with high stone clearance rate and less complication.