摘要
目的探讨微创经皮肾穿刺取石术治疗复杂性肾结石的疗效。方法应用微创经皮肾穿刺取石术(miniPCNL)治疗50例复杂性肾结石患者。结果50例均Ⅰ期取石成功,其中单通道取石32例,多通道18例,结石清除率82%(41/50),术中、术后未见有明显出血,其中5例因有较大结石残留而行ESWL治疗,随访3～6个月无严重发症产生。结论MiniPCNL治疗复杂性肾结石,创伤小,出血少,恢复快,可作为首选治疗方法。
objecitve:To evaluate the efficiency of minimal invasive pe rc utaneous nephrolithotomy in treating complex renal calculi.Menthods:Fifty patien ts with complex renal calculi were treated with minimal invasive percutaneous ne phrolithotomy.Results:All stones in 50 cases were taken out by one-step proced ure successfully.Among them,32 cases were treated by single tract and 18 cases b y multiple tracts respectively.The stone-free rate was 82%. No case was suffere d from massive hemorrhage intraoperatively or postoperatively.There were 5 cases were treated with ESWL after operation.After 3~6 months of following-up,no cas e suffered any complication.Conclusion:Minimal invasive percutaneous nephrostomy has advantages of minimal trauma,less blood loss,rapid recovery and better effe ct,therefore should be the first-line therapeutic means for patients with comlp lex renal calculi.
出处
《实用临床医学（江西）》
CAS
2005年第7期67-68,共2页
Practical Clinical Medicine
关键词
肾结石
经皮肾穿刺取石术
病例报告
renal calculi
peractaneous nephrolithotmy
case reports
