摘要
目的探讨超声引导微创经皮肾穿刺取石术(MPCNL)治疗多发性肾结石的方法及效果。方法该组20例多发性肾结石,16例伴鹿角形结石。采用超声引导,局部麻醉下经皮肾穿刺微造瘘建立通道,以8.0/9.8F输尿管肾镜下钬激光碎石取石。少量残余结石辅以体外碎石。结果5例一期MPCNL取净结石,5例二期取净结石,6例三期取净结石;2例于MPCNL后1个月行体外碎石治疗,结石排净。总的结石排净率为90%。手术时间100～270min,平均170min。无中转开放手术,无严重并发症。结论超声引导MPCNL治疗多发性肾结石具有操作简单、创伤小、并发症少、恢复快、结石清除率高等优点,可作为多发性结石的首选治疗方法。
[Objective] To evaluate the feasibility and availability of minimal invasive percutaneous nephrohthotomy （MPCNL） under the guide of ultrasound on multiple renal calculi. [Methods] We retrospectively investigated 20 patients suffering from multiple renal calculi who were treated by MPCNL Of these 20 cases, staghorn calculi were found in 16. All of the 20 cases treated by MPCNL with local anesthesia under the guide of ultrasound. [Resuits] Among 20 cases, 5 cases were stone free after one stage MPCN, L, 5 cases stone free after two stage MPCNL, 6 cases stone free after three stage MPCNL, 2 cases stone free treated by ESWL 1 month after MPCNL. The total stone free rate was 90%. The operative duration was 170 min （100-270 min）. No severe complications were observed. [Conclusions] MPCNL offers advantages with respect to easy operation, less invasion, less comphcations, easy recover, high stone free rate. It is a good minimally invasive way in treatment of complicated renal calculi.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第9期908-909,912,共3页
China Journal of Endoscopy
关键词
超声
经皮肾穿刺取石术
肾结石
ultrasound
percutaneous nephrolithotomy
renal calculi
