摘要
目的应用微创经皮肾镜取石术(MPCNL)治疗复杂性肾结石、肾盂和输尿管上段结石,并对其出现的并发症进行分析,探讨其预防和处理。方法对本组162例患者进行MPCNL手术,对术中和术后出现的并发症进行观察、处理,并进行回顾性分析,探讨其并发症发生的原因。结果本组患者行MPCNL术的疗效满意,对其并发症进行处理的结果满意。结论MPCNL具有疗效肯定、安全实用、损伤小、出血少等优点,是治疗复杂性肾、肾盂和输尿管上段结石的理想方法之一,但有一定的并发症。预防和处理的关键为合理选择患者,充分的术前准备,术中的操作轻柔,术后严密观察病情变化并及时处理。
Objective Treatment complex renal calculi and pelvis upper ureteric calculi by Minimally invasive percutaneous nephrolithotomy （MPCNL）. Analysis on the causes of complication,discuss the prevention and treatment principles. Methods The 162 cases patients of this group had taken mini-percutaneous nephrolithotomy,observation and treatment the complications appears when intraoperative and postoperative, study the reasons of complications by retrospectively. Results The patients of this group were satisfactory efficacy by MPCNL, the major complication during or after the operation were infection 39 cases（24.07%）, bleeding 19 cases（11.72%）, residual stones 31 cases （ 19.14% ）, pelvis perforation 5 cases （3.09%）, nephrostomy tube abscission 3 cases （ 1.85% ）, and pleural injury 1 ease （0.62%） ; the injury of surrounding organ was not found,the results of complication management were satisfactory.Conclusion MPCNL was one of ideal method to treat complex renal calculi and upper ureteric calculi.It has the advantages of effect, safety, useful, small damage and less bleeding.but there still exists incidence of complications. Key skills were the choosing of adaptive disease, sufficient preparation for the preoperative, operating gently during operation and postoperative observation of the change of the patient＇s condition and give timely treatment.
出处
《中国现代医生》
2009年第32期38-39,41,共3页
China Modern Doctor
关键词
微创经皮肾镜取石术
并发症
原因
Minimally invasive percutaneous nephrolithotomy
Complication
Reason
