Abstract：Objective To evaluate the occurrence and management of complications following Bultrasound-guided micro channel percutaneous nephrolithotripsy（mPCNL）.Methods From June 2012 to Augest 2015，167 cases of Bultrasound-guided mPCNL were performed for upper urinary tract stones in our department.The surgical complications and treatmentmethods were analyzed.Results Among the 167 cases ofmPCNL，a total of 33（19.8%）patients encountered complications.Of these cases，Peel-away sheath placement failure occurred in 2 cases（1.2%），in which 1 case needed secondary surgery.25 cases of postoperative fever（15.0%），septic shock occurred in 1 case（0.6%）.The 1 septic shock patientwas cured after active anti-infection and anti-shock treatment.3 caseswere treated with blood transfussions due to severe hemorrhaging（1.8%），the clipping hemostasis nephrostomymethod recovery.Therewas extensive hemorrhage in 2 cases（1.2%）post-mPCNL，super-selecive renal artery embolisation was performed in 2 cases.Pleural injury in 1 case （0.6%），which were cured with conservative therapy.There were no case of abdominal organ injury.Conclusion Bultrasound-guided mPCNL has the advantages of convenient operation，less complications.Timely，correctly handle the operation complications is the key to enhance the operation safety.
Zeng G，Zhao Z，Wan S，et al.Minimally invasive percutaneous nephrolithotomy for simple and complex renal caliceal stones:a comparative analysis of more than 10，000 cases［J］.JEndourol，2012，27（10）：1203-1208.
［4］
Ferakis N，Stavropoulos M.Mini percutaneous nephrolithotomy in the treatment of renal and upper ureteral stones：lessons learned from a review of the literature［J］.Urol Ann，2015，7（2）：141-148.
［5］
Mishra S，Sharma R，Garg C，et al.Prospective comparative study ofminiperc and standard PNL for treatmentof1 to 2 cm size renal stone［J］.BJU Int，2011，108（6）：896-899.
Qi S，Li L，Liu R，et al.Impact of stone branch number on outcomes of percutaneous nephrolithotomy for treatment of staghorn calculi［J］.JEndourol，2014，28（2）：152-157.
［12］
De S，Autorino R，Kim FJ，et al.Percutaneous nephrolithotomy versus retrograde intrarenal surgery：a systematic review and meta-analysis［J］.Eur Urol，2015，67（1）：125-137.
［13］
Labate G，Modi P，Timoney A，et al．The percutaneous nephrolithotomy global study：classification of complications［J］.JEndourol，2011，25（8）：1275-1280．
［14］
Morris DS，Wei JT，Taub DA，et al．Temporal trends in the use of percutaneous nephrolithotomy［J］.J Urol，2006，17 （5）：1731-1736．
［15］
Negrete-Pulido O，Gutierrez-Aceves J.Management of infectious complications in percutaneous nephrolithotomy［J］.J Endourol，2009，23（10）：1757-1762.
［16］
Akbulut F，Ucpinar B，Savun M，et al．Amajor complication in micropercutaneous nephroli-thotomy：upper calyceal perforation with extrarenal migration of stone fragments due to increased intrarenal pelic pressure［J］.Case Rep Urol，2015，2015：792780.
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