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Journal of Peking University (Health Sciences) ›› 2024, Vol. 56 ›› Issue (4): 745-749. doi: 10.19723/j.issn.1671-167X.2024.04.032

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佳佳 乔,聪 田,晓波 黄,军 刘*()   

  • Received:2024-03-15 Online:2024-08-18 Published:2024-07-23
  • Contact: 军 刘 E-mail:hmuliujun@163.com
  • Supported by:
    the Beijing Health Technologies Promotion Program(BHTPP2022082);by Peking University People' s Hospital Scientific Research Development Funds(RDE2023-11)

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CLC Number: 

  • R699.2

Figure 1

Pre-operative and post-operative imaging comparison of patients with residual stones A, pre-operative CT; B, post-operative images."

Figure 2

Imaging comparison before and after two PCNL A, pre-operative kidney ureter bladder (KUB) position; B, CT after the first percutaneous nephrolithotomy (PCNL); C, KUB after the second PCNL."

Table 1

Preoperative clinical characteristics of 8 patients"

Clinical characteristics Value
Gender, n(%)
Female 8 (100.0)
Age/years, $\bar x \pm s$ 42.5±7.2
BMI/(kg/m2), $\bar x \pm s$ 24.8±3.8
Urine white blood cell/μL，M(P25, P75) 479.9 (281.8, 1 306.5)
Urine bacterial count/μL，M(P25, P75) 163.0 (57.3, 739.0)
Urine pH，M(P25, P75) 6.8 (6.5, 7.5)
Urine nitrite positive，n (%) 3 (37.5)
Serum creatinine/(μmol/L)，M(P25, P75) 60.5 (45.8, 69.0)
Urine bacterial culture positive，n (%) 6 (75.0)
History of SLE/years，$\bar x \pm s$ 9.2±6.3
Stone diameter/mm，M(P25, P75) 64.4 (60.0, 78.0)
Degree of hydronephrosis
Mild 5 (50.0)
Moderate 1 (12.5)
Severe 2 (25.0)
Staghorn calculi，n(%) 5 (62.5)

Table 2

Operation-related data of 8 patients"

Items Value
Postoperative fever，n(%) 7 (87.5)
Preoperative steroid shock，n(%) 7 (87.5)
Operation time/min, $\bar x \pm s$ 84.3±19.7
Number of channels，$\bar x \pm s$ 1.5±0.5
Lithotriptic tool，n(%)
Laser 4 (50.0)
Ultrasonic 8 (100.0)
Pneumatic ballistic 3 (37.5)
Vacuum aspiration 8 (100.0)
Stone composition analysis， n(%)
Infectious stones 8 (100.0)
Residual stone 6 (75.0)
Complication(Clavien-Dindo), n(%)[6]
Ⅰ grade 3 (37.5)
Hospital stay/d, $\bar x \pm s$ 12.9±4.8

Table 3

Pre-operative and post-operative laboratory tests of 8 patients"

Laboratory indicators Pre-operative (n=8) Post-operative (n=8) P
Serum creatinine/(μmol/L) 57.6±13.0 64.3±14.0 0.33
White blood cell/(×109/L) 7.0±2.3 9.4±4.3 0.25
Platelet/(×109/L) 179.3±53.1 171.6±51.4 0.83
Hemoglobin/(g/L) 120.5±13.1 110.0±6.1 0.13
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