Study on the Therapeutic Effect of Percutaneous Nephrolithotomy(PCNL) without Placement of Nephrostomy Tube for Upper Urinary Tract Stones with Renal Effusion
Ye Jianan, Mai Huihong*, Dong Zhong, Gan Miaoping, Wu Xilian
Department of Urology,Huizhou Central People's Hospital,Huizhou 516000,Guangdong
Abstract：Objective To investigate the effect of not placing nephrostomy tube in patients with upper urinary tract stones and renal effusion treated by percutaneous nephrolithotomy. Methods 274 patients who underwent percutaneous nephrolithotomy were retrospectively included in the study.The patients were divided into group A(with nephrostomy tube,n=113) and group B(without nephrostomy tube,n=161) according to the treatment modality.The postoperative recovery,complication rate,inflammatory factor level,stone clearance rate and renal function indexes of the two groups were compared and analyzed. Results This study showed that the postoperative recovery of Group B was better than that of Group A,and the difference was statistically significant(P<0.05); the complication rate of Group B was not significantly different from that of Group A,and the difference was not statistically significant(P>0.05);comparing the levels of inflammatory factor in the two groups at different postoperative time points,the level of inflammatory factor in Groups B and A were both elevated postoperatively,and the indexes of Groups B and A did not differ significantly,and there was no statistically significant difference between the groups(P>0.05); the level of stone clearance and renal function indicators of Group B were compared.Group B had no significant difference in stone removal rate compared with Group A,and there was no statistically significant difference(P>0.05); Group B had no significant difference in renal function indexes Scr and BUN with Group A,and there was no statistically significant difference(P>0.05). Conclusion In patients with percutaneous nephrolithotomy,no nephrostomy tube is placed,which has the advantages of fast postoperative recovery,low pain,short hospitalization time and reduced treatment costs,and better meets the therapeutic needs of patients.
叶佳男, 麦惠洪, 董忠, 甘妙平, 吴喜链. 上尿路结石并肾积液行经皮肾镜取石术后不放置肾造瘘管的疗效研究[J]. 哈尔滨医药, 2025, 45(5): 28-31.
Ye Jianan, Mai Huihong, Dong Zhong, Gan Miaoping, Wu Xilian. Study on the Therapeutic Effect of Percutaneous Nephrolithotomy(PCNL) without Placement of Nephrostomy Tube for Upper Urinary Tract Stones with Renal Effusion. journal1, 2025, 45(5): 28-31.
2025, Vol. 45 
