Volume 6,Issue 4
Exploration and Analysis of the Efficacy of Tubeless Percutaneous Nephroscopy in Treating Upper Urinary Tract Stones
Objective: To explore the clinical efficacy of tubeless percutaneous nephrolithotomy (PCNL) in the treatment of upper urinary tract stones. Methods: 100 patients with upper urinary tract stones and concurrent PCNL surgery who were treated in Taizhou People's Hospital Affiliated to Nanjing Medical University from September 2023 to September 2025 were randomly divided into two groups using a random number table method according to whether a nephrostomy tube was left in place after surgery, with 50 cases in each group, namely the observation group (without pyelostomy tube) and the control group (with pyelostomy tube). The two groups of patients were compared in terms of clinical data, perioperative indicators, renal function test indicators and surgical complications. Results: There was no statistical difference in clinical baseline data between the two groups (P > 0.05). However, in terms of length of hospitalization, VAS score, postoperative urinary catheter indwelling time, frequency of analgesic drug use, and postoperative recovery levels of Scr and BUN, the observation group showed significant improvement compared to the control group, with statistical significance (P < 0.05). There was no statistical difference in the incidence of complications between the two groups (P > 0.05). Conclusion: Both tubeless and standardized PCNL can effectively break lithotripsy, but tubeless technology has the advantages of lower postoperative pain, faster postoperative recovery, and shorter hospitalization time, and has practical clinical application value.
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