摘要
目的分析上尿路结石患者行经皮肾微造瘘输尿管镜气压弹道碎石术(mPCNL)的疗效及并发症的预防和处理。方法对106例行mPCNL的上尿路结石患者的临床资料进行回顾性分析。结果平均住院天数13d,106例患者中93例成功Ⅰ期取净结石(87.7%)。13例行Ⅱ期手术,其中2例系因通道建立后出血较多,视野不清,予留置造瘘管7～10d后Ⅱ期取石。11例有结石残留,其中6例经原通道、2例新建立通道再次行mPCNL取净结石,3例行ESWL。平均尿液转清时间2.5d,肾造瘘管留置时间4～11d,平均7.5d。2例患者术后出现高热,经抗炎、对症治疗后好转。结论mPCNL上尿路结石具有高效、安全的特点,结石清除率高,值得临床推广应用。
[Objective] To analyze the effect and the prevention of complication by minimally invasive percutaneous nephrostomy for treating upper urinary calculi. [Methods] Retrospectively analyze 106 upper urinary calculi cases by mPCNL. [Result] The average hospitalization time is 13 days. 93 out of 106 cases （87.7%） succeeded to be taken out the stone clearly at stage I. 13 cases needed stage Ⅱ surgeries. 2 out of 13 cases bled more than normal after the channel establishment which made the vision field unclear, so after being left the fistula 7～10 days stage Ⅱ surgeries were taken. In 11 cases the stones were remained. 6 out of them needed mPCNL again by the original channel, 2 out of them by the new channel and 3 out of them needed ESWL. The average time when urine changed clear is 2.5 d. The fistula tube by kidney was left 4 - 11 d. The average time is 7.5d. 2 cases had high fever. The situations changed better after the antibiotic and proper treatments. [Conclusion] Minimally invasive percutaneous nephrostomy not only is safe and highly effective but also has the high stone-elimination rate. It is valuable to spread and use in clinic for treating urinary disease.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第9期919-921,共3页
China Journal of Endoscopy
