摘要
目的总结经皮肾穿刺造瘘、输尿管镜联合气压弹道碎石取石术的临床运用经验,旨在寻求复杂肾结石的微创治疗方法。方法回顾分析19例复杂肾结石患者经皮肾碎石取石术的临床资料。结果平均手术时间120min,估计术中失血量80mL。采用单通道取石15例,双通道取石4例。19例复杂肾结石完全取净率91%,其中一次取石14例,二次取石5例。除出血、尿路热外无严重并发症。平均住院日8d。结论经皮输尿管镜碎石取石术具有创伤小、结石残留率低、并发症少、康复快的优点,对复杂肾结石而言,是一种安全、微创、有效的治疗方法。
[ Objective ] To summarize the clinical treatment experience of percutaneous nephrostomy followed by ureteroscopy and pneumatic lithotripsy, in order to seek a minimally invasive therapies for complex kidney calculi. [Methods] To retrospectively analyze the clinical data of 19 patients with complex calculi in kidney treated by percutaneous nephrolithotripsy （PNL）. [Results] Mean operative time was 120 min with an average estimated blood loss of 80 ml. The free stone rate was 91% in 19 patients. One-off removal of calculi was in 15 cases. At twice removal were in 4 cases. Single nephrostomy access track was required for clear off stone fragments in 15 patients, and double nephrostomy access tracks were required in 4 patients. With the exception of hemorrhage and urosepsis, no severe complications were observed. Average hospital times were 8 days. [Conclusions] Percutaneous nephrolithotripsy by use of rigid ureteroseopes be of advantages with small wound, lower residual stones rate, less complications and rapid recovery. It is a safe, minimally trauma and effective methods for treating complex calculi in kidney.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第9期972-974,共3页
China Journal of Endoscopy
关键词
经皮肾碎石术
肾
结石
percutaneous nephmlithotripsy
renal
calculi
