一期多通道标准肾镜取石术治疗复杂性肾结石  

Standard Tract Percutaneous Nephrolithotomy with Multiple Tracts in a Single Session for Complexity Renal Caculi

作　　者：张雪培[1] 王刘中[1] 魏金星[1] 王智勇[1] 张广云[1] 王耀锋[1] 蔡腾[1] 

机构地区：[1]郑州大学第一附属医院泌尿外科,郑州450052

出　　处：《临床泌尿外科杂志》2011年第2期89-91,共3页Journal of Clinical Urology

摘　　要：目的:评价F24标准通道经皮肾镜取石术(standard tract percutaneous nephrolithotomy.SPCNL)期多通道治疗复杂性肾结石的安全性与临床疗效。方法:回顾性分析2008年6月～201O年8月采用一期多通道SPCNL治疗复杂性肾结石患者52例。结果:52例患者均一期成功建立经皮肾通道,双通道43例,三通道7例,四通道2例。无肾切除、腹腔脏器损伤等严重并发症发生。平均手术时间103 mm,一期结石取净38例(73.1%)。4例接受二期SPCNL,取净3例;2例接受输尿管镜气压弹道碎石术,均取净;9例接受ESW术后随访1～12个月,原残留结石9例中结石清除7例。结论:一期多通道SPCNL治疗复杂性肾结石安全有效,可选择性作为理想的治疗方案。Objective：To evaluate the efficacy and safety of standard tract percutaneous nephrolithotomy（SPCNL）requiring mutiple tracts in a single session for complexity renal caculi. Methods： We retrospectively analysed the clinical data of 52 patients who underwent multi-tract SPCNL in a single session for complexity renal caculi from Jun. 2008 to Aug. 2010. Results：All percutaneous renal tunnels were successfully established, of which 2 tunnels were used in 43 cases, 3 tunnels were used in 7 cases,4 tunnels were used simultaneously in 2 cases. No severe complications such as nephrectomy, abdominal organs injury occured. The average operative time of first stage SPCNL was 103 rain,38 cases were rendered stone free and the clearance rate was 73.1%. Four cases had a second-look SPCNL,3 cases were rendered stone free. Two cases had ureteroscopic lithotripsy , both of them were rendered stone free. Nine cases had ESWL. Fifty-two cases had a follow up for 1-12 months, of 9 cases with residual caculi 7 were rendered stone free. Conclusions： Multi-tract SPCNL in a single session for complexity renal caculi could be effective and safe,and it should be an effective and feasible treatment option in selected cases.

关 键 词：多通道 取石术 复杂性肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]