摘要
目的:探讨标准通道经皮肾输尿管镜气压弹道碎石术治疗复杂肾结石的疗效及安全性。方法:总结2009年4月-2009年12月采用标准通道经皮肾输尿管镜气压弹道碎石术治疗复杂肾结石36例39侧临床资料。结果:本组35例38侧成功行I期PCNL,手术时间30-180min(平均86±34min),出血约30-500m(l平均110±20ml)。其中8例残留结石大于1.0cm,术后5-7天行局麻下二期手术清除残石,总结石清除率92.1%(35/38),ESWL治疗3例。1例孤立肾铸型结石并肾积水、肾功能不全,经皮肾穿刺置入F8单J管引流,二期行标准通道PCNL术。所有病例随访1-3月,无严重手术并发症。结论:标准通道经皮肾输尿管镜气压弹道碎石术治疗复杂肾结石,具有安全、效率高、创伤小、恢复快的特点,并可明显减低医疗成本。
Objective：To investigate the effect of percutaneous nephrolithotomy via the standard tract on patients with complex kidney calculi.Methods：Form April 2009 to September 2009,36 patients with complex renal calculi underwent standard tract PCNL by pneumatic lithotripsy.Their clinical data were reviewed retrospect-tively.Results：Phase I lithotripsy were performed on all the cases.The mean operation time were 86±34min（range 30-180min）,and the mean blood loss was 110±20 ml（30~500ml）.8 cases had residual stones（≥1.0cm） were cleared by Phase II lithotr-ipsy,3 cases were treated by ESWL,and the total clearance was 92.1%（35/38）.Nephrostomy was performed on one case,who had complex calculi in solitary kidney,and Phase II lithotripsy was underwent standard tract PCNL.After following up for 1 to 3 months,there were no severe comp-lications.Conclusion：Treatment of complex renal calculi with standard tract percutaneous nep-hrolithotomy was effective,safe,and obviously reduced the medical cost.
出处
《现代生物医学进展》
CAS
2010年第23期4533-4534,4558,共3页
Progress in Modern Biomedicine
关键词
肾结石
标准通道
经皮肾镜取石术
Renal calculi
Standard tract
Percutaneous nephrolithotomy
