Effects of Visual Puncture Percutaneous Nephrolithotomy on the Treatment of Renal Calculi and Its Impact on the Stone Clearance Rate and Postoperative Complication Rate
Objective:To explore the effect of visual puncture percutaneous nephrolithotomy on the treatment of renal calculi and its impact on stone clearance rate and postoperative complications rates.Meth-ods:Clinical data of patients with renal calculi who underwent visual puncture percutaneous nephrolithotomy in our hospital from January 2020 to January 2023 were retrospectively analyzed,and 73 cases were included in the observation group.Clinical data of patients who underwent minimally invasive percutaneous nephrolitho-tomy for renal calculi during the same period were retrospectively analyzed,and 74 cases were included in the control group.The clinical indicators(operation time,number of access tracts,intraoperative blood loss),stone clearance status(average stone fragmentation time,stone clearance rates in stage I and stage Ⅱ),post-operative recovery status(VAS score,length of hospital stay,decrease in hemoglobin),and occurrence of postoperative complications within 1 week were compared between the two groups.Results:The operation time and average stone fragmentation time in the observation group were longer than those in the control group(P<0.05),and the number of access tracts and stone clearance rate in stage Ⅱ were higher than those in the con-trol group(P<0.05).The length of hospital stay was shorter,and VAS score and decrease in hemoglobin were lower in the observation group than in the control group(P<0.05).There was no statistically significant difference in intraoperative blood loss and the incidence of postoperative complications between the two groups(P>0.05).Conclusion:Visual puncture percutaneous nephrolithotomy is safe and effective in the treatment of patients with renal calculi,and it can effectively remove the stones and reduce the hospital stay for patients.