KẾT QUẢ ĐIỀU TRỊ SỎI THẬN BẰNG PHƯƠNG PHÁP TÁN SỎI QUA DA ĐƯỜNG HẦM SIÊU NHỎ TẠI BỆNH VIỆN QUÂN Y 175

Abstract

Objectives: To evaluate the results of kidney stone treatment by ultra-mini percutaneous nephrolithotomy (PCNL) at Military Hospital 175. Methods: A prospective, descriptive, longitudinal study was conducted on 196 patients indicated for ultra-mini percutaneous nephrolithotomy (UMP) at Military Hospital 175 from December 2023 to June 2025. Results: Most patients underwent surgery using a single access tract (95.92%), with the majority of punctures made through the lower calyx (61.22%). The average surgical time per patient was 56.08 ± 18.01 (range: 20 - 110) minutes. The stone-free rate 3 months post-operation was 93.88%. No intraoperative accidents occurred. The complication rate recorded in this study was 7.65%, with Clavien-Dindo classification showing 3.06% as grade I and grade II complications; the rates for grade II, IIIa, and IIIb complications were each 0.51%. Conclusion: UMP is an effective and safe method for treating kidney stones, with a high surgical stone-free rate and minimal complications.