摘要
目的探讨微创经皮肾镜取石术(MPCNL)在基层医院的应用及并发症的防治。方法 2008～2011年吴川市人民医院实施MPCNL286例,男性189例,女性97例,其中肾结石176例,输尿管上段结石59例,肾结石合并输尿管上段结石51例。结果本组患者均治愈出院,无一例死亡,发生并发症26例,其中大出血11例,肾盂破裂2例,胸腔积液3例,腹腔积液4例,结肠穿孔2例,感染4例。结论 MPCNL是一种安全、有效的微创手术,但有一定的并发症发生率,在基层医院技术不熟练的情况下风险较大,加强并发症的防治有利于此项技术在基层医院的开展。
Objective To discuss the application of minimally invasive percutaneous nephrolithotomy （MPCNL） in primary hospital and the prevention of complications. Methods Total 286 patients were 189 male and 97 female and underwent MPCNL operations from 2008 to 2011 in our hospital. There were 176 cases of kidney stones ,59 cases of ureteral calculi, and 51 cases of renal calculus complicated with upper ureteral calculi. Results All the patients were cured and discharged, there was no death. 26 cases were with complications ,including massive hemorrhage in 11 cases ,renal pelvis rupture in 2 cases ,pleural effusion in 3 cases, abdominal effusion in 4 cases, colon perforation in 2 cases, and infection in 4 cases. Conclusion MPCNL is a safe, effective and minimally invasive operation, but with certain rate of complications, so the practice of MPCNL in unskilled primary hospitals should meet a high risk. The effective prevention and treatment of complications will promote the application of it in primary hospitals.
出处
《中华全科医学》
2013年第5期704-706,共3页
Chinese Journal of General Practice
关键词
基层医院
微创经皮肾镜取石术
肾结石
输尿管上段结石
并发症
防治
Primary hospital
Minimally invasive percutaneous nephrolithotomy
Kidney stones
Ureteral calculi
Complica- tion
Prevention and treatment
