摘要
目的探讨经皮肾镜技术治疗孤立肾上尿路结石的临床经验与体会。方法2008年6月至2011年4月我们应用经皮肾镜技术治疗孤立肾上尿路结石患者20例，16例行I期单通道取石；2例行I期双通道取石；2例因合并严重感染I期肾造瘘充分引流后行Ⅱ期单通道取石。结果20例患者结石清除率为88．36％（18／20），平均手术时间66min，术中无肾盂、肾盏黏膜撕裂及大出血等并发症，术后肾造瘘管留置6或7d后拔除，随访未发现并发症。术前6例合并肾功能不全者，术后2周复查，血肌酐下降。结论经皮肾镜技术治疗孤立肾上尿路结石具有创伤小、安全、有效等优点。
Objective To retrospec the efficacy of percutaneous nephrolithotomy on treatment of urinary tract stones in solitary kidney. Methods From June 2008 to April 2011, pereutaneous nephrolithotomy technique was used to treat 20 cases of urinary tract stones ,with kidney stone or cast form staghorn calculi in 4 cases, single pelvis, calyceal stones 10 cases ,6 cases of upper ureteral calculi ; Fourteen cases used the standard channel F24; 6 cases used F16 Micro Channel. Among the 20 patients, 16 cases performed stage I single channel surgery;2 cases performed dual-channel surgery in I stage;2 patients with severe infection performed stage ]I single channel surgery. Results The average duration of the operation was 66mins. The stone clearance rate was 88. 36% on average （18/20）, without laceration or bleeding of pelvis or renal calyces mucosa or any other complications. Postoperative indwelling nephrostomy tubes were removed 6 -7 days later, without complications found during the follow-up period. For the 6 cases with preoperative renal dysfunction before surgery,the levels of blood Cr decreased at 2 weeks after surgery. Conclusion Compared to open surgery, percutaneous nephrolithotomy is safe and effective with small wound in treatment of solitary kidney with invasive upper urinary tract calculi.
出处
《中国综合临床》
2012年第6期654-655,共2页
Clinical Medicine of China
关键词
肾结石
肾镜
上尿路结石
Kidney stone
Nephrolithotomy
Urinary tract stones
