摘要
目的评估经皮肾镜取石术(PNL)治疗孤立肾肾结石的安全性及有效性。方法回顾性分析接受PNL治疗的孤立肾肾结石患者10例的临床资料。结果 10例患者中9例行一期PNL,1例先行经皮肾穿刺造瘘术,1周后行二期PNL,均为单通道穿刺取石,手术时间35～220min,平均118.8min,无出血、感染等并发症发生。术后尿路平片(KUB)示8例结石清除干净,2例残存结石者行体外冲击波碎石(ESWL)。随访6～12个月,肾功能不全的3例患者肾功能恢复正常。结论 PNL治疗孤立肾肾结石安全可行,疗效确切,具有创伤小、恢复快、可反复操作等优点。
Objective To assess the safety and the curative efficacy of treatment with percutaneous nephrolithotomy(PNL)in solitary kidney calculi. Methods A restrospective investigation was carried on 10 cases suffered from solitary kidney calculi, who were treated with percutaneous nephrolithotomy.Results Nine cases were achieved using one-stage percutaneous nephrolithotomy. Single tract was used in all cases. The operations cost 35～220 minutes, average 118.8 minutes and no bleeding, infection or other complications occurred. All cases were followed up for 6～12 months, and 3 cases with renal failure were recovered. Conclusions Percutaneous nephrolithotomy is safe and effective in treating solitary kidney calculi. It may offer advantages with respect to less intraoperative and postoperative complications, minimal invasions and easier recoveries.
出处
《泌尿外科杂志（电子版）》
2011年第3期18-19,23,共3页
Journal of Urology for Clinicians(Electronic Version)
关键词
肾结石
孤立肾
经皮肾镜碎石术
Renal calculi
Solitary kidney
Percutaneous nephrolithotomy
