微创经皮肾镜取石术治疗结石性脓肾的探讨  

The Evaluation of the li-eatmeant of calculous pyonephrosis with minimally invasive percutaneous nephrolithottmy

作　　者：毛登久[1] 危月枚 

机构地区：[1]怀化医专附属医院泌尿外科,湖南怀化418000

出　　处：《怀化医专学报》2006年第2期32-33,共2页

摘　　要：目的 探讨微创经皮肾镜取石术（m—PCNL）治疗结石性脓肾的安全性和有效性。方法 29例结石性脓肾采用微创经皮肾镜取石术治疗。结果 29例均将肾盂、肾盏漏斗部梗阻的结石取出，达到了通畅引流的目的：一期取净全部结石19例，二期取石10例。其中6例取净，4例仍残余小结石；无大出血和感染性休克等严重并发症；23例获随访1个月-一2年，肾功能均有不同程度恢复。结论 微创经皮肾镜取石术大多数可一期处理梗阻部位结石。使引流通畅。控制感染。最大程度恢复肾功能；安全、有效；结石性脓肾可作保肾治疗。Objective To assess the safety and feasibility of minimally invasive percutaneous nephrolithotomy （m- PCNL） in treating calculous pyonephrosis. Methods 29 pations with calculous pyonephrosis were treated with minimally invasive percutaneous nephrolithotomy. Results The obstructed calculi of 29 cases were pick - out and get a free drain of infected urine, m - PCNL were performed, one section in 19 cases, two section in 10 cases of which 6 were clean, and residual stone one month to in 4 cases and there was no infections shock occur, no blood transfusion. two year. The renal function improved postopeation. Conclusion 23 cases have been floolwup for Minimally invasive percutaneous nephrolithotomy is safe and effective in treating calculous pyonephrosis. Calculous pyonephrosis might be saved.

关 键 词：经皮肾镜取石术 尿路结石 结石性脓肾 

分 类 号：R692.4[医药卫生—泌尿科学]