Title: Nursing experience in patients with upper urinary tract calculi by minimally invasive percutaneous nephrolithotomy
Abstract: Objective:To summarize the perioperative nursing experience in patients with upper urinary tract calculi undergoing minimally invasive percutaneous nephrolithotomy.Methods: Between May 2005 and Feb.2012,235 patients with upper urinary tract calculi were treated with minimally invasive percutaneous nephrolithotomy in our department and received standardized nursing measures and rehabilitation guidance.Results: The total 235 patients were recovered and discharged from hospital.Dissatisfactory outcome occurred in 5 patients,who were managed by secondary percutaneous nephrolithotomy.Postoperative stone residual was found in 39 cases,yet total stone clearance was 83.4%.Eighteen patients with residual stone larger than 8 mm were treated with extracorporeal shock wave lithotripsy(ESWL).Heavy bleeding occurred in 5 cases,4 were conservatively treated with blood transfusion and one with interventional embolizaiton.Intercostal approach was used in one case,who was complicated with chest pain after removal of the nephrostomy tube but managed with petrolatum gauze plugging.No serious complications such as abdominal organ injury occurred.Conclusion: Carefully planned perioperative nursing measures and full health guidance can boost successful percutaneous nephrolithotomy,yet reduce the complications in treatment of upper urinary tract calculi.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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