摘要
目的:探讨经皮肾镜Ⅰ期处理复杂性结石合并肾积脓的安全性和疗效。方法:对19例结石致急性肾梗阻性肾积脓患者行微创方法治疗。首先抗炎、抗休克,体温下降病情平稳后,Ⅰ期行一侧经皮肾镜取石术。结果:19例均一侧Ⅰ期碎石取石成功,结石均基本取净,平均手术时间76分钟。结论:急性梗阻性肾积脓Ⅰ期行微创手术治疗是安全可行且疗效确切。
Objective ：To discussing the security and therapeutic effect of percutancous nephrolithotomy of complexity Calculi with acute urinary tract obstruction with pyonephrosis. Methods： The clinical characteristics, diagnosis of complexity calculi with urinary tract obstruct complicated with pyonephrosis in 19 cases were reviewed. The 19 cases, after antiinflammatory and countershock, underwent PCNL for the first stage. Results ： All 19 cases were treated successfully. The total stone - free rate was nearly 100%. The average operation time was 76 minltes. Conclusion： PCNL is a safety and effective method to treat acute urinary tract obstruction with pyonephrosis in the first steage.
关键词
肾积脓
经皮肾取石术
Pyonephrosis
Percutaneous nephrolitbotomy
