微创经皮肾穿刺碎石取石术治疗肾结石32例  

Treatment of renal calculus with minimally invasive percutaneous nephrolithotomy in 32 patients

作　　者：邵明峰[1] 陈久发[1] 邹建安[1] 刘明[1] 华和元[1] 徐久平[1] 张广峰[1] 张崇科[1] 

机构地区：[1]安徽中医学院第一附属医院泌尿外科,合肥230031

出　　处：《安徽医学》2009年第7期743-745,共3页Anhui Medical Journal

摘　　要：目的探讨微创经皮肾穿刺碎石取石术(MPCNL)治疗肾结石的经验和疗效。方法回顾分析32例肾结石采用MPCNL治疗的临床资料。结果26例一次取尽结石,成功率81.3%,6例有结石残留,行ESWL治疗或再次行MPCNL治愈。手术时间平均1.6小时,术后2例发热高于38.5℃,应用抗生素后愈,无需要输血病例。住院时间平均6天,随访半年,无肾功能不全病例出现,17例肾积水均有不同程度减轻。结论MPCNL具有创伤轻微,疗效可靠等优点,值得推广应用。Objective To evaluate the experience and efficiency of minimally invasive percutaneous nephrolithotomy in treating renal calculus. Methods Clinical data of 32 cases with renal calculus with minimally invasive percutaneous nephrolithotomy were reviewed. Results The stones were cleared off at one section in 26 cases （81.3%）. 6 patients （ 18.7% ） with residual stones after operation were cured by ESWL or by minimally invasive percutaneous nephrolithotomy. Average operative time was 1.6 hours. Two patients with fever（ 〉 38.5℃ ） after operation were cured by antibiotics and no patient needed blood transfusion. The mean hospitalization was 6 days. All cases were followed up in 6 months, no one appeared renal failure and the hydronephrosis in 17 cases alleviated after the operation. Conclusion Percutaneous nephrolithotomy is a less invasion, effective technique in treating renal caluculi and it is worth generalizing.

关 键 词：肾结石 微创经皮肾穿刺取石术 

分 类 号：R699[医药卫生—泌尿科学]