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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Comparative Study of Lithotripsy and Pcnl For 11-15 mm Lower Caliceal Calculi in Community Health Hospital
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Comparative Study of Lithotripsy and Pcnl For 11-15 mm Lower Caliceal Calculi in Community Health Hospital

机译：社区卫生医院碎石术和Pcnl治疗11-15 mm下颌骨结石的比较研究

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Background and Purpose: Percutaneous Nephrolithotomy (PCNL) is not a popular procedure in smaller sized calculi due to its invasive nature, complications and need for anesthesia. Small sized lower caliceal calculi are generally treated by ESWL but have significantly less clearance rate in spite of several sittings. Here we want to study the efficacy and safe of both procedures in 11 to 15 mm lower caliceal calculi.Materials and Methods: We present comparative study of lithotripsy and PCNL in 11-15 mm lower caliceal calculi in our hospital. Total 156 patients were studied 78 underwent lithotripsy and 78 underwent PCNL. We compared results in the form of clearance rate, the number of settings needed, hospital stay, need for anesthesia, blood transfusion rate, chest complication, the incidence of sepsis, the need for another procedure, need for stenting in either group.Results: We found a 67.95% clearance rate in SWL group and 97.43% clearance rate in PCNL group. Hospital stay was minimum in SWL group and was 46 hours in PCNL group. The procedure time was 42 minutes in PCNL and it was 114 mins in SWL (considering all settings). The rest of the complications like chest complication, sepsis and bleeding were negligible due to the small size of calculi.Conclusion: In a small sized LPC calculi, PCNL is gaining increased popularity due to lower complication and high safety and complete clearance rate. It is wide accepted by society as the patient is totally stone free at the end of the procedure. SWL is less invasive but less effective and has given significant discomfort to patients
机译：背景与目的：经皮肾镜取石术（PCNL）由于其侵入性，并发症和麻醉的需要，在较小的结石中并不受欢迎。较小的下颌结石通常通过ESWL治疗，但尽管坐了好几次，清除率却明显降低。在这里，我们要研究这两种方法在11至15 mm下颌骨结石中的疗效和安全性。材料与方法：我们对我院11-15 mm下颌骨结石中碎石术和PCNL的对比研究进行比较。总共对156例患者进行了78例碎石术和78例PCNL的研究。我们以清除率，所需的设置次数，所需的住院时间，麻醉的需要，输血率，胸部并发症，败血症的发生率，败血症的发生率，是否需要另一种方法以及是否需要置入支架等形式对结果进行了比较。结果：我们发现SWL组的清除率为67.95％，PCNL组的清除率为97.43％。 SWL组的住院时间最少，而PCNL组为46小时。在PCNL中，该过程时间为42分钟，而在SWL中为114分钟（考虑所有设置）。由于结石较小，其余并发症如胸部并发症，败血症和出血可忽略不计。结论：在小块LPC结石中，PCNL由于并发症少，安全性高和完全清除率而越来越受欢迎。由于患者在手术结束时完全没有结石，因此被社会广泛接受。 SWL的侵入性较小，但疗效较差，给患者带来极大不适

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