经皮肾微造瘘输尿管镜取石术治疗复杂鹿角形肾结石  

Percutaneous small tract puncture nephrostomyureteroscopy in therapy of kidney calculi

作　　者：杨瑜[1] 郭宏骞[1] 李笑弓[1] 燕翔[1] 张士伟[1] 

机构地区：[1]南京市鼓楼医院泌尿外科,江苏南京210008

出　　处：《现代生物医学进展》2009年第5期909-910,共2页Progress in Modern Biomedicine

摘　　要：目的:探讨经皮肾穿刺微通道法(MPCNL--mini percutaneous nephrolithotomy)在治疗复杂鹿角形肾结石的临床应用价值。方法:使用F16-F18左右的肾筋膜扩张器建立经皮肾微通道,通过气压弹道碎石及输尿管镜取石治疗复杂鹿角形肾结石,并对采用此法手术的478名患者的治疗效果进行回顾性分析。结果:通过经皮肾穿刺建立微通道(MPCNL)治疗复杂鹿角形肾结石的478名患者,术中及术后均无严重并发症发生,结石取净率达93.143%。结论:经皮肾穿刺微通道技术治疗复杂鹿角形肾结石具有创伤小、出血少、并发症少、住院时间短的优点,具有良好的临床应用价值。Objective： To evaluate the value ofpercutaneous small tract puncture nephrostomy ureteroscopy through the TROCAR as a treatment for complex kidney calculi. Methods： Percutaneous small tract puncture nephrostomy followed by endo - ureteroscopic lithotripsy through the channel of the F 16- F 18 trocar in the corresponding period was carried out in the multiple renal stones. The thera- peutic efficacies were retrospective analyzed in 478 cases of operating patient. Results： There were no serious complication during operation and after operation by M PCNL. And the stones were cleared off 93.143 %. Conclusions： M PCNL has advantages of less wound, less hemorrhage, less complications and short length of stay, showing a good value in clinical application.

关 键 词：微创经皮肾手术 输尿管镜 复杂鹿角形肾结石 

分 类 号：R699[医药卫生—泌尿科学]