经皮肾镜清石术治疗复杂性肾结石  

Percutaneous nephrolithotomy for treatment of complex kidney calculi

作　　者：欧阳骏[1] 温端改[1] 侯建全[1] 严春寅[1] 浦金贤[1] 李刚[1] 平季根[1] 

机构地区：[1]苏州大学附属第一医院泌尿外科,215006

出　　处：《江苏医药》2007年第6期555-556,共2页Jiangsu Medical Journal

摘　　要：目的研究在B超引导下经皮肾镜清石术(PCNL)治疗复杂性肾结石的疗效。方法对86例肾多发性、鹿角型结石患者采用经皮肾镜术治疗,结石大于2.5cm78例,2.0～2.5cm8例。多发性肾结石42例,单发性肾结石44例;鹿角型结石43例,非鹿角型结石43例。结果手术均获得成功,单侧结石清除时间30～120min,结石粉碎率100%,结石清除率85.4%。住院时间6～21d。7例术后残留直径小于1cm的结石,3周后接受体外冲击波碎石治疗。1例孤立肾患者PCNL后发生急性肾衰,经2周血液透析后恢复。结论在B超引导下PCNL治疗复杂性肾结石具有安全、创伤小、成功率高等优点。Objective To study the efficiency and safety of percutaneous nephrolithotomy （PCNL） for the treatment of complex and staghorn kidney stones. Methods Eighty-six patients underwent PCNL. Among them,43 cases were staghorn stones and 42 multiple stones. Seventy-eight cases with the average bulk of the stones〉2.5 cm（range 2. 5 to 4. 6 cm）, 10 cases with the average bulk of stones between 2.0 to 2. 5 cm. Results The operative time was 30 to 120 min. The stone-free rate was 85.4% and the hospital stay was 6 to 21 days. Seven cases were found to have residual stones after operation（size〈1.0 cm） and received ESWL treatment three weeks later, one case with solitary kidney developed acute renal function failure after PCNL, but recovered after two weeks hemodialysis. Conclusion PCNL under ultrasound is a safe and minitraumatic method with high success rate for the treatment of complex kidney calculi.

关 键 词：肾结石 经皮肾镜术 碎石 

分 类 号：R693[医药卫生—泌尿科学]