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[Clinical analysis of 28 cases of calculous pyonephrosis undergoing B-ultrasound-guided renal puncture and drainage followed by secondary percutaneous nephrolithotomy].
Zhonghua Yi Xue Za Zhi 2019; 99(38):3005-3007ZY

Abstract

Objective:

To investigate the therapeutic effects of first phase renal puncture and drainage guided by B ultrasound and second phase percutaneous nephrolithotomy(PCNL) in the treatment of urinary calculi complicated with pyonephrosis.

Methods:

From January 2014 to April 2018, 28 patients with upper ureteral segment and kidney calculi complicated with pyonephrosis were collected. All patients received the pyonephrosis puncture under B ultrasound. After the inflammation was controlled and the clinical situation improved, the second phase was treated by PCNL. During the operation, routine in dwelling ureteral stent drainage and renal fistula wereperformed. The outcomes of the operation were observed.

Results:

A total of 28 cases were successfully punctured, the obstruction was relieved and the inflammation was controlled. Additionally, the second phase of PCNL surgery was successful, and there were no significant stone residues after PCNL. There were no complications such as severe systemic inflammatory response syndrome and severe hemorrhage. After 3 to 12 months of follow-up, renal function was restored to varying degrees, and there were no renal failure patients who needednephrectomy.

Conclusions:

Early diagnosis of urinary calculi complicated with pyonephrosis is the key to successful treatment. Active and effective B ultrasound-guided renal puncture and drainage, drainage of pus, and removal of urinary obstruction can improve the safety of the second phase of PCNL, and thus it attaches great importance to the treatment of pyonephrosis.

Authors+Show Affiliations

Department of Urology, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, 200240 China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

chi

PubMed ID

31607033

Citation

Tu, M Q., et al. "[Clinical Analysis of 28 Cases of Calculous Pyonephrosis Undergoing B-ultrasound-guided Renal Puncture and Drainage Followed By Secondary Percutaneous Nephrolithotomy]." Zhonghua Yi Xue Za Zhi, vol. 99, no. 38, 2019, pp. 3005-3007.
Tu MQ, Li JH, Fu XC, et al. [Clinical analysis of 28 cases of calculous pyonephrosis undergoing B-ultrasound-guided renal puncture and drainage followed by secondary percutaneous nephrolithotomy]. Zhonghua Yi Xue Za Zhi. 2019;99(38):3005-3007.
Tu, M. Q., Li, J. H., Fu, X. C., Wang, X. L., Zhang, J., Wang, W. Z., & Shi, G. W. (2019). [Clinical analysis of 28 cases of calculous pyonephrosis undergoing B-ultrasound-guided renal puncture and drainage followed by secondary percutaneous nephrolithotomy]. Zhonghua Yi Xue Za Zhi, 99(38), pp. 3005-3007. doi:10.3760/cma.j.issn.0376-2491.2019.38.008.
Tu MQ, et al. [Clinical Analysis of 28 Cases of Calculous Pyonephrosis Undergoing B-ultrasound-guided Renal Puncture and Drainage Followed By Secondary Percutaneous Nephrolithotomy]. Zhonghua Yi Xue Za Zhi. 2019 Oct 15;99(38):3005-3007. PubMed PMID: 31607033.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Clinical analysis of 28 cases of calculous pyonephrosis undergoing B-ultrasound-guided renal puncture and drainage followed by secondary percutaneous nephrolithotomy]. AU - Tu,M Q, AU - Li,J H, AU - Fu,X C, AU - Wang,X L, AU - Zhang,J, AU - Wang,W Z, AU - Shi,G W, PY - 2019/10/15/entrez PY - 2019/10/15/pubmed PY - 2019/11/8/medline KW - B-ultrasound guidance KW - Pyonephrosis KW - Renal puncture and drainage KW - Urinary calculi SP - 3005 EP - 3007 JF - Zhonghua yi xue za zhi JO - Zhonghua Yi Xue Za Zhi VL - 99 IS - 38 N2 - Objective: To investigate the therapeutic effects of first phase renal puncture and drainage guided by B ultrasound and second phase percutaneous nephrolithotomy(PCNL) in the treatment of urinary calculi complicated with pyonephrosis. Methods: From January 2014 to April 2018, 28 patients with upper ureteral segment and kidney calculi complicated with pyonephrosis were collected. All patients received the pyonephrosis puncture under B ultrasound. After the inflammation was controlled and the clinical situation improved, the second phase was treated by PCNL. During the operation, routine in dwelling ureteral stent drainage and renal fistula wereperformed. The outcomes of the operation were observed. Results: A total of 28 cases were successfully punctured, the obstruction was relieved and the inflammation was controlled. Additionally, the second phase of PCNL surgery was successful, and there were no significant stone residues after PCNL. There were no complications such as severe systemic inflammatory response syndrome and severe hemorrhage. After 3 to 12 months of follow-up, renal function was restored to varying degrees, and there were no renal failure patients who needednephrectomy. Conclusions: Early diagnosis of urinary calculi complicated with pyonephrosis is the key to successful treatment. Active and effective B ultrasound-guided renal puncture and drainage, drainage of pus, and removal of urinary obstruction can improve the safety of the second phase of PCNL, and thus it attaches great importance to the treatment of pyonephrosis. SN - 0376-2491 UR - https://www.unboundmedicine.com/medline/citation/31607033/[Clinical_analysis_of_28_cases_of_calculous_pyonephrosis_undergoing_B-ultrasound-guided_renal_puncture_and_drainage_followed_by_secondary_percutaneous_nephrolithotomy] L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=0376-2491&year=2019&vol=99&issue=38&fpage=3005 DB - PRIME DP - Unbound Medicine ER -