Bibliographic Details
| Title: |
Comparative study between ultrasound versus fluoroscopyguided access during percutaneous nephrolithotomy. |
| Authors: |
Elhashash, Mahmoud M.1, Fathi, Basem A.1 dr.basemhara@hotmail.com, Awad, Refaat M.1 |
| Source: |
Scientific Journal of Al-Azhar Medical Faculty, Girls. Jan-Mar2021, Vol. 5 Issue 1, p134-139. 6p. |
| Subject Terms: |
*KIDNEY stones diagnosis, *KIDNEY surgery, *ULTRASONIC imaging, *FLUOROSCOPY, *SURGICAL complications |
| Abstract: |
Aim To evaluate percutaneous nephrolithotripsy (PCNL) guided by ultrasound (UG) versus fluoroscopy (FG) comparing both techniques regarding operative time, success, and complication rates. Patients and methods This is a randomized study that was carried out from March 2019 to February 2020 on 50 patients divided into two groups: group I included 25 patients who were guided by fluoroscopy, and group II included 25 patients who were guided by ultrasound. Results Stone-free rate was 88% in group I (FG PCNL), whereas it was 72% in group II (UG PCNL). Mean operative time was 90 min in group I (FG PCNL) compared with 97 min in group II (UG PCNL), with P value 0.001. The complications were intraoperative bleeding in six (24%) patients in group I (FG PCNL) and two (8%) patients in group II (UG PCNL), and postoperative fever in four (16%) patients in group I (FG PCNL) compared with two (8%) patients in group II (UG PCNL), with P value 0.051. Conclusion PCNL under US guidance is accompanied by high success rates with few complications, similar to that of fluoroscopy-guided PCNL, with decrease exposure to radiation. [ABSTRACT FROM AUTHOR] |
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| Database: |
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