微创经皮肾镜取石术治疗复杂性输尿管上段结石70例临床观察  

Treatment of Complicated upper Ureter Calculi on Minimally Invasive Percutaneous Nephrolithotomy (Report of 70 Cases)

作　　者：张慧民[1] 裴琼[1] 才胜勇[1] 高希民[1] 高彬[1] 陈沛林[1] 

机构地区：[1]河北医科大学附属唐山工人医院泌尿外科,河北唐山063000

出　　处：《中国中医基础医学杂志》2010年第3期255-256,共2页JOURNAL OF BASIC CHINESE MEDICINE

摘　　要：目的:探讨微创经皮肾镜取石术治疗输尿管上段结石的疗效。方法:回顾性分析2006年5月～2008年10月采用微创经皮肾镜取石术治疗70例输尿管上段结石患者的临床资料,观察临床治疗效果及安全性。结果:68例患者为Ⅰ期取石,2例因穿刺后为脓肾改为Ⅱ期取石,结石清除率100%,手术时间35min～60min,平均手术时间45min。术后住院5d～7d,未出现严重并发症。结论:微创经皮肾镜取石术治疗输尿管上段结石具有高效、安全的取石效果,对复杂性输尿管上段结石是一种高效的治疗方法。Objective： To assess the effect of treatment with minimally invasive percutaneous nephrolithotomy （ MPCNL ） in upper ureteral calculi.Methods： A retrospective investigation was performed on 70 cases suffering from upper ureter calculi,who were treated with min-PCNL from May 2006 to October 2008.And then we can Observe the efficacy and safety.Results：100% stone-free rate was achieved using MPCNL in these 70 cases,in which 68 cases used I period mini-PCNL,and 2 cases was changed to use II period due to pyonephrosis after percutaneous nephrostomy.The operation time was 35-60 minutes（mean,45 minutes）.The length of postoperative hospital stay was 5-7 days,and no major complications were noted.Conclusion：Minimally invasive percutaneous nephrolithotomy is effective and safe in treating upper ureter calculi,and is a highly effective treatment to complicated upper ureter calculi.

关 键 词：输尿管上段结石 输尿管镜 微创经皮肾取石术 

分 类 号：R693.4[医药卫生—泌尿科学]