完全无管化经皮肾镜取石术治疗肾结石的疗效评估  

Totally Tubeless Percutaneous Nephrolithotomy in the Treatment of Renal Calculi

作　　者：张军晖[1] 邢念增[1] 

机构地区：[1]首都医科大学附属北京朝阳医院泌尿外科,北京100020

出　　处：《临床泌尿外科杂志》2009年第12期917-918,共2页Journal of Clinical Urology

摘　　要：目的:探讨完全无管化经皮肾镜取石术治疗肾结石的疗效及安全性,评估完全无管化技术的优势。方法:回顾性分析2008年8月～2009年8月采用完全无管化技术行经皮肾镜取石术治疗16例肾结石患者的临床资料:结石最大径平均2.2 cm,手术方法为结石清除干净后既不留置肾造瘘管也不留置双J管。结果:手术时间平均32.5 min,手术前后血红蛋白平均下降11 g/L,16例均未输血。术后无尿外渗、发热、严重出血等并发症发生。平均住院5.5天,结石清除率100%。结论:经皮肾镜术后既不留置肾造瘘管也不留置双J管是安全的,既经济,又减少了患者痛苦,但其适应证应严格把握。Objective：To investgate the efficacy and safety of totally tubeless percutaneous nephrolithotomy in the treatment of renal calculi, and to evaluate the advantages of this technology. Methods： From August 2008 to August 2009, the retrospective study was done on 16 cases of totally tubeless percutaneous nephrolithotomy. The maximum diameter（mean） of the renal stone was 2.2 cm. There was no double J tube and renal ostomy tube in drainage for the operations after clearance of renal stone. Results：The operating time（mean） was 32. 5 min. The decrease of haemoglobin was 11 g/L after operation. There was no urinary extravasation, hyperpyrexia, or uncontrolled bleeding recorded. No blood transfusion in all 16 cases. The postoperative hospital staying was 5.5 d. The clearance rate of stone was 100%. Conclusions： Totally tubeless percutaneous nephrolithotomy is safe for the treatment of renal calculi. It was considered as a cost-effective and less pain method for patients, but the operation indication should be chosen strictly.

关 键 词：肾结石 经皮肾镜取石术 完全无管化 

分 类 号：R691.4[医药卫生—泌尿科学]