What are the complications of percutaneous nephrolithotomy

summary

Now some patients suffer from kidney stones, because after having stones, patients will have varying degrees of pain, sometimes seriously affect the normal life at that time. When the stones are in a certain size range, percutaneous nephrolithotomy can be used. Let's talk about the complications of percutaneous nephrolithotomy.

What are the complications of percutaneous nephrolithotomy

First, percutaneous nephrolithotomy is to establish a passage from the skin to the kidney at the waist. Through this passage, the nephrolithotomy is inserted into the kidney, and the kidney stones are broken and removed by laser, ultrasound and other lithotripsy tools. Ureteroscopy is to use a slender, high-precision instrument to enter the bladder through the urethra to reach the ureter with a diameter of only 0.2 to 0.5 cm, under direct vision or with the help of electricity The ureteral calculi were observed clearly by visual monitoring system, and then the lithotriptor, stone net and lithotriptor were inserted from the working cavity of ureteroscope to remove the calculi smashed by laser.

Second, PCNL is effective in the treatment of upper urinary tract calculi, with less trauma and less bleeding. Drainage is only a part of the whole operation. However, when the patient's condition is critical and the contralateral kidney is not known, drainage can only be performed.

Third: drainage must be thorough. Incomplete drainage is often the cause of uncontrollable infection around the kidney and the formation of a large number of fibrous scars. The best effect can be achieved by placing silica gel negative pressure ball drainage. Postoperative drainage should be retained for at least 7 days, and the daily drainage volume should be less than 10ml, which can be removed after 3 consecutive days. If the kidney injury is serious and the patient is in a dangerous state, packing method should be used to stop bleeding.

matters needing attention

From this we can know that percutaneous nephrolithotomy has side effects, it will lead to some complications. Patients with kidney stones must come to the hospital as soon as possible to do the relevant examination, the earlier to take treatment, the greater the possibility of successful treatment, the fewer complications.