微创经皮肾镜取石术治疗肾盏憩室结石8例  

Treatment of calculi within calyceal diverticula on minimally invasive percutaneous nephrolithotomy

作　　者：刘星明[1] 吴元煜[1] 任胜强[1] 邬旭明[1] 袁鹤胜[1] 蔡雅富[1] 桑乾宏[1] 方建军[1] 梁宇[1] 王强辉[1] 

机构地区：[1]解放军第113医院泌尿外科,浙江宁波315040

出　　处：《中国内镜杂志》2007年第5期507-508,共2页China Journal of Endoscopy

摘　　要：目的探讨微创经皮肾镜取石术(min-PCNL)治疗肾盏憩室结石的安全性及有效性。方法对接受微创经皮肾镜取石术治疗的8例肾盏憩室并肾结石患者的临床资料进行回顾性分析。结果所有患者均行一期单通道穿刺取石。术中利用钬激光烧灼肾盏憩室开口。肾造瘘管平均留置时间5d,平均住院时间8d。其中1例min-PCNL术中改开放手术、输血。有1例憩室结石复发。无其他重大并发症。结论微创经皮肾镜取石术治疗肾盏憩室结石安全,可行,疗效确切,但要注意适应证的选择(肾盏憩室位于中下极)。与开放手术相比,能减少术中、术后出血及并发症。具有创伤小、恢复快、可反复操作等优点。[Objective] To assess the safety, feasibility and the curative effect of treatment with minimally invasire percutaneous nephrolithotomy （MPCNL） in calyceal diverticula with calculi. [Methods] A restrospective investigation was going on 8 cases suffering from calculi within calyceal diverticula, who were treated with minimally invasive percutaneous nephrolithotomy from February 2002 to February 2006. [Results] Of 8 cases, 87.5% stone-free rate was achieved using one-stage minimally invasive percutaneous nephrolithotomy. They were treated by 8 mini-PCNL. Average nephrostomy tube stay was 5 days, average hospitalization stay was 8 days. Blood transfution was performed in 1 patient, no major complications were noted in the other patients. [Conclusions] Minimally invasive percutaneous nephrohthotomy is safe and effective in treating some cases （calyeeal diverticula lies in mid-renal or below-renal）. Compared to open surgery, it may offer advantages with respect to less introoperative and postoperative complications, high stone free rate, less invasion, easy recovery and short hospitalization stay.

关 键 词：经皮肾穿刺取石术 输尿管镜取石术 肾盏憩室 微创手术 

分 类 号：R692.4[医药卫生—泌尿科学]