微创经皮肾穿刺取石术联合体外冲击波碎石术治疗肾结石  

MPCNL combined with ESWL in treating renal stones

作　　者：张继来[1] 张正龙[1] 陈明[1] 程伟[1] 陈斌[1] 

机构地区：[1]湖北省丹江口市第一医院泌尿科,湖北丹江口442700

出　　处：《中国内镜杂志》2009年第4期417-418,共2页China Journal of Endoscopy

摘　　要：目的探讨微创经皮肾穿刺取石术(MPCNL)联合体外冲击波碎石术(ESWL)治疗肾结石的可行性与临床疗效。方法对铸形结石21例、多发性肾结石14例患者采用MPCNL加ESWL的方法治疗。结果35例均一期穿刺取石,加ESWL者28例,2次以上MPCNL者12例,总结石清除率85.7%,平均手术时间160min,术后发热3例,灌注液外渗2例,无大出血而需输血者。结论MPCNL联合ESWL是治疗相对复杂肾结石的有效方法,创伤小,恢复快,易推广。[Objective] To sum up the experience and clinical effect of minimally-invasive pereutaneous nephrolithotomy （MPCNL） combined with extraeorporal shock wave lithotripsy（ESWL） and repeated MPCNL in treating renal stones. [Methods] The information of 35 cases with renal stones who were treated by MPC-NL combined with ESWL were analyzed. Among them, 21 eases had casting mold renal stones, 14 cases had frequently-occurring renal stones. [Results] All the eases were performed on with one-stage MPCNL, 28 cases with combined one-：stage MPCNL and ESWL, 12 cases underwent two session MPCNL. The total clearing rate of renal stones was 85.7%. The average operation time was 160 minutes, 3 cases had a postoperative fever, 2 cases had extravasated irrigations, and there was no severe hemorrhage or blood transfusion. [Conclusions] MPCNL combined with ESWL is an effective method in treating relative complex renal stones which has the advantages of little wound, quick recovery and easier popularization.

关 键 词：肾结石 微创经皮肾穿刺取石术 碎石术 

分 类 号：R692.4[医药卫生—泌尿科学]