经皮肾镜微造瘘治疗肾盏憩室合并结石20例  

20 cases of calyceal diverticula with calculi treated by minimally invasive percutaneous nephrolithotomy

作　　者：李金乾[1] 张雪培[1] 魏金星[1] 郭旭[1] 张广云[1] 王耀峰[1] 

机构地区：[1]郑州大学第一附属医院泌尿外科,450052

出　　处：《中国实用医刊》2010年第9期37-38,共2页Chinese Journal of Practical Medicine

摘　　要：目的 探讨经皮肾镜微造瘘治疗有症状肾盏憩室结石的可行性与临床疗效.方法 回顾性分析20例肾盏憩室结石患者的治疗及效果,20例患者全部顺利碎石取石,同时处理肾盏憩室颈口.结果 平均手术时间45 min,平均住院天数11 d.术中平均出血量50 ml,无严重并发症发生.结论 经皮肾穿刺微造瘘碎石取石是治疗有症状肾盏憩室结石的一种有效方法,具有创伤小、并发症少、恢复快、结石清除率高等优点.Objective To assess the safety,feasibility and the curative effect of treatment with minimally invasive percutaneous nephrolithotomy(PCNL)in calyceal diverticula with calculi. Methods Twenty cases suffering from calculi within calyceal diverticula,were treated with minimally invasive percutaneous nephrolithotomy,dealing with orifice of calyceal diverticulum at the same time. Results The average hospitalization days was 11 days,average operation time was 45 min.No major complications and all calculus were removed.Conclusions Minimally invasive percutaneous nephrolithotomy is safe and effective in treating calyceal diverticula. Compared to open surgery,it may offer advantages with respect to less invasion and postoperative complications,high stone free rate, easy recovery and short hospitalization.

关 键 词：经皮肾镜取石术 肾盏憩室 

分 类 号：R699.2[医药卫生—泌尿科学]