الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Urinary component stone sickness is a vital piece of normal urological practice inside the global’s distinct geographic areas as well as in our us of a. PCNL is a difficult strategy and associated with massive disarrays, it might be performed genuinely to achieve a better sans stone price .
One of the primary intricacies of PCNL is kicking the bucket, and the most etiology for this burden is get right of entry to extending from skin to social affair shape. At some stage in this stage, vascular, and parenchymal mischief can reason outrageous depleting throughout an operation or after movement. Similarly, making get admission to is finished below C‑arm and receptiveness to X‑ray is huge both for patients and professionals.
The location of this have a look at is connection the two techniques for get entry to enlarging a solitary shot and progressive method about the hour of creating get admission to and as a consequence the hour of radiation receptiveness and the reducing of hemoglobin (Hb) all through the motion .
Our survey is organized randomized clinical audit at Nephrology and Urology Minia college Emergency hospital, which include percutaneous renal operation the use of pneumatic lithotripsy in sufferers with renal stones .
This have a look at changed into pushed on 50 patients (30male and 20 female) , and the patients have been segregated into social activities each get-together contains 25 patients, with age range 24 to sixty six years vintage.
The patients were randomized into bundle I PCNL the usage of ”alken” dilators and get-collectively II PCNL the use of unmarried dilatation. Most people of instances (80%) went via PNL ( at the same time as 20% of instances went thru Miniperc.
In our flow in package I the receptiveness to radiation turned into long gone from 1.Fifty two - 3.30 min with suggest of(2.41) whilst in % II it went from four.00-four.30 with suggest of (four.15). As to hemoglobin degree it become basically decrease in successive dilatation percent stood out from a solitary shot dilatation package and handiest five instances required blood keeping they all had been in bundle I .
In our move in percent I the stone loose charge become (60%) even as in package deal II the stone free charge become (eighty%). The general intricacy rate become 14 %, there has been no actually giant qualification among the two get-togethers regarding burden charge as demonstrated by the changed Clavien characterization In the end, the going with finishes could be drawn from our audit. The unmarried-step dilatation is a effective system, being secured, close to domestic , and a fruitful as successive expansion you acquire renal get entry to . No precise disarray with a solitary shot technique, and the bleakness rates had been comparable with the ones of splendid successive dilatation.