经皮肾微造瘘输尿管镜取石术治疗肾盏憩室结石  

Minimally invasive percutaneous nephrolithotomy for calyceal diverticular calculi

作　　者：李笑弓[1] 郭宏骞[1] 甘卫东[1] 刘光香[1] 张士伟[1] 刘铁石[1] 燕翔[1] 曾令奇[1] 

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科,江苏南京210008

出　　处：《中国内镜杂志》2008年第1期19-21,共3页China Journal of Endoscopy

基　　金：江西省人事厅"六大人才高峰"项目(2006-B-003)

摘　　要：目的评估经皮肾微造瘘输尿管镜取石术(Minimally invasive percutaneous nephrolithotomy,MPC-NL)治疗肾盏憩室结石的临床价值。方法回顾分析该院2001年2月～2005年10月应用经皮肾微造瘘输尿管镜取石术治疗的13例肾盏憩室结石患者的临床资料。结果12例均一次碎石取石成功,1例合并肾盂结石经配合体外冲击波碎石后结石排出。11例患者均随访(13±3)个月,未发现肾盏憩室内结石再发,2例随访1个月后失访。结论MPCNL是一种值得临床广泛推广的治疗肾盏憩室结石的微创方法之一。[Objective] To evaluate minimally invasive pereutaneous nephrolithotomy（MPCNL） in the treatment of calyceal diverticular calculi. [Methods] The records of 13 cases treated with MPCNL during February 2001 and October 2005 were reviewed and analyzed. [Results] 12 cases were treated successfully in a single procedure. But 1 of the cases complicating renal pelvis calculi was treated by extracorporeal shock wave lithotripsy after operation, eventually stones were discharged. 11 cases had followup for （13±3） months in whom there were no stone found in all calyceal diverticula. 2 patients had followup for one month and were lost. [Conclusion] MPCNL approach is the most effective and micro-invasive treatment for calyceal diverticular calculi and to be worth generalizing in clinic.

关 键 词：经皮肾微造瘘输尿管镜取石术 肾盏憩室 结石 治疗 

分 类 号：R692[医药卫生—泌尿科学]