摘要
目的：探讨改良无管化（即术后不带造瘘管，5～7天拔除尿管并随丝线带出双J管，完全不带管出院）微造瘘经皮。肾镜取石术（mini—PCNL）治疗肾结石的疗效及安全性。方法：回顾性分析mini—PCNI。治疗肾结石患者56例，男38例，女18例，1．5cm≤结石直径≤3．0cm。结果：mini-PCNL治疗肾结石术中出血量约为（55土30）ml，手术时间平均51．6min。49例患者一次取石成功；7例复查见小残石，对〉0．6cm结石辅以ESWL治疗，对≤0．6cm结石则随访观察。术后患者住院时间6～8d。结论imini-PCNL治疗。肾结石安全有效，结石清除率高，并发症少，可极大地减轻患者痛苦，值得临床推广使用。
Objective.. To observe clinical therapeutic effect and safety of tubeless mini-percutaneous nephro- lithotomy （mini-PCNL） for kidney stones. Method..We reviewed and analyzed 56 cases undergoing mini-PCNL in- cluding 38 males and 18 females. Stone diameter ranged from 1.5 cm to 3.0 cm. Result .. The blood loss of the sur- gery was （55＋30） ml, and the average operation time was 51.6 minute. Totally 49 cases experienced successful stone extraction, but seven cases were found small residual stones by check-up after the surgery. Then ESWL was used for stones larger than 0.6 cm. Stones less than 0.6 cm should be followed up. Postoperative hospital stay was 6-8 d. Conclusion.. Mini-PCNL for kidney stones is safe and effective with high stone-free rate and few compli- cation. It is worth clinical promotion for it can greatly reduce the patients＂ pain.
出处
《临床泌尿外科杂志》
2015年第11期991-992,995,共3页
Journal of Clinical Urology
