Treatment of patients with complex kidney stones Urological and Genital Diseases
Conditions
Interventions
The patients are divided into observation group and control group by voluntary admission in advance. The observation group is treated with percutaneous renal single-channel disposable electronic soft
the control group is treated with traditional single percutaneous nephroscopy.
Total treatment time: preoperative to discharge, followed up for 3 months after surgery
Sponsors
Hebei Yanda Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with complex renal calculi combined with medical history, signs and imaging findings 2. All patients with preoperative urinary tract infection received anti-infective treatment and were well controlled 3. Patients with abnormal blood pressure, blood glucose and electrolyte before operation returned to normal and maintained stable after active treatment by doctors 4. Patients with preoperative renal insufficiency or severe hydronephrosis had undergone one-stage nephrostomy 5. The patients were able to accept the hospitalization expenses of the double-mirror combination, and the willingness to operate was strong. All patients signed the informed consent 6. The case data were complete and the examination was perfect
Exclusion criteria
Exclusion criteria: 1. There were systemic hemorrhagic diseases, and the coagulation function had not been corrected 2. Long-term use of anticoagulant drugs such as aspirin, warfarin, preoperative non withdrawal for more than 1 week 3. With severe heart and lung disease, can not tolerate surgery and anesthesia 4. Renal malignant tumor, renal tuberculosis, pelvic ectopic kidney, polycystic kidney and severe renal prolapse were found before operation 5. The presence of severe joint or spinal deformity affects the placement of surgical position 6. Extremely obese, the skin-kidney distance value was too large, affecting the establishment of percutaneous renal working channel 7. Pregnant patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stone clearance rate is measured using non-contrast computed tomography (CT) at 24 hours post-procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Stone clearance rate is measured using non-contrast computed tomography (CT) at 3 months post-operation 2. Operation time is measured using intraoperative surgical records at the time of surgery 3. Intraoperative blood loss is measured using surgical suction volume and gauze weight at the time of surgery 4. Hospitalization time is measured using patient discharge records from admission to discharge 5. Postoperative complications are measured using the Clavien-Dindo classification at ... 6. Quality of life is measured using the Generic Quality of Life Inventory-74 (GQOLI-74) at baseline and 1 month post-surgery 7. Inflammatory response is measured using serum C-reactive protein (CRP) levels at 24 hours before surgery (T0), end of anesthesia (T1), 2 hours after surgery (T2), 12 hours after surgery (T3), 24 hours after surgery (T4), and 48 hours after surgery (T5) 8. Renal function is measured using serum cystatin C levels at baseline (before surgery), 2 hours after surgery, 12 hours after surgery, 24 hours after surgery, 48 hours after surgery, and 72 hours after surgery | — |
Countries
China
Contacts
Public ContactYunbo Yang
Outcome results
None listed