Air versus dye pyelogram in percutaneous nephrolithotripsy
- Conditions
- Calculus of kidney with calculus of ureter.Calculus of kidney with calculus of ureter
- Registration Number
- IRCT201302061323N6
- Lead Sponsor
- Deputy of Information and Research , Yasuj University of Medical Sciences
- Brief Summary
Comparsion Efficasy of Ear Pyelogram<br /> versus Dye Contract Pyelogram in PCNL<br /> Mehrabi S1*, Rahimi F2, Ghafarin Shirazi HR1, Hadinia A3<br /> 1Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran, 2Students<br /> Research committee, Yasuj University of Medical Sciences, Yasuj, Iran, 3Cellular and Molecular Research<br /> Center, Yasuj University of Medical Sciences, Yasuj, Iran<br /> <br /> Abstract<br /> Background & aim: Access to the collecting system is the first step in percutaneous interventions<br /> such as cutaneous nephrolithotomy (PCNL) and endopyelotomy.Usually "using air or contrast<br /> medium injected into the pelvis and Colle 'system which is obtained under fluoroscopic guidance.<br /> The purpose of this study was to compare the efficacy and adverse effects of air Pylogram with<br /> contrast in the PCNL procedure.<br /> Methods: In this clinical trial, 100 patients older than 18 years old with renal or upper ureteral<br /> stones and upper ureter since undergoing PCNL were randomly divided into two groups. In all<br /> patients undergoing spinal anesthesia, ureteral catheter F5 was placed in supine position and the<br /> patient was returned to the prone position. The control group was injected with15-40 ml of contrast<br /> material through the catheter to represent the pelvis and Colle under fluoroscopic guidance, the<br /> intervention group were injected with 40-15 ml of room air in a similar way. Then the standard<br /> PCNL procedures were performed in all patients. Demographic characteristics and intraoperative<br /> and postoperative variables such as access time to system, radiation, hypoxia, and cardiovascular<br /> and pulmonary complications in the two groups were compared. The data included descriptive<br /> statistics, frequency, mean, standard deviation were analyzed by Student's t-test.<br /> Results: The results showed the the age, sex and mean stone size were similar in both groups.<br /> Access time control systems in control group was 7/96±1/62 minutes and in the intervention group<br /> was 7/34±1/44 minutes (P=0/049) respectivly. In control group the radiation time was 1/06±0/30<br /> min, and in the intervention group was 0/95±0/24 min (P=0/048). Hypoxia, pulmonary and<br /> cardiovascular complications has no seen in two groups.<br /> Conclusions: [n order to represent of the pelvis and Colle in 'PCNL, the use of room air is feasible,<br /> safe and effective, time and duration of radiation have less access to the system and does not<br /> charge and can be a good alternative for Pylogram.<br /> Key words: Air pyelogram, Dye pyelogram, PC
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 250
inclusion and exclusion criteria are includes (Age>18 years old :patients with renal or upper ureteral stone larger than 20 millimeter candidate for percutaneous nephrolithotripsy :Exclusion criteria: patients with urinary stone younger than 18 years old :patients with azotemia.uncontrolled coagulopathy:active infection:any contraindication for general or spinal anesthesia:COPD:ASA score 3 and 4 ) and history of DVT
Not provided
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Visualizing pyelocaliceal system of kidneys and access to system. Timepoint: From begining of operation till access to system forPCNL. Method of measurement: Observation of surgen during operation by fluroscopy and by nephroscope after access to system.
- Secondary Outcome Measures
Name Time Method Development of any cardiovascularcomplications. Timepoint: during operation, hospital stay and one week later. Method of measurement: report of patients and observation with examination of heart . pulse oximetery during operation and checking limb pulses.;Development of pulmonary complications. Timepoint: during operation, hospital stay and one week later. Method of measurement: report of patients and observation with examination of heart . pulse oximetery during operation and checking limb pulses.