微创经皮肾取石术治疗独立肾结石  

Treatment of Solitary Kidney Calculi with Minimally Invasive Percutaneous Nephrolithotomy

作　　者：刘平[1] 邹自灏[1] 李育斌[1] 钟剑锋[1] 黄伟佳[1] 高兴成[1] 

机构地区：[1]广州医学院第三附属医院泌尿外科,广州510150

出　　处：《临床泌尿外科杂志》2011年第5期348-349,共2页Journal of Clinical Urology

摘　　要：目的:探讨微创经皮肾取石术治疗孤立肾结石的临床疗效与手术技巧。方法:利用微创经皮肾取石术治疗孤立肾结石18例,14例患者行一期微创经皮肾取石,4例行经皮肾穿刺造瘘术,5～7天后行二期取石术。结果:结石清除15例(83.3%)。在结石残留的3例患者中,1例残留结石下移至输尿管下段,用输尿管镜将结石取出;余2例结石残留肾内,未作进一步处理,本组患者术后肾功能基本恢复常或好转。结论:微创经皮肾取石术治疗独立肾结石是一种安全、有效的方法。Objective：To study the efficacy and technique of minimally mvas,ve percutaneous nepilrotltnutumy in treating solitary kidney calculi. Methods： Eighteen patients with solitary kidney calculi, treated with minimally invasive percutaneous nephrolithotomy, fourteen of them were performed one—stage minimally invasive percutaneous nephrolithotomy, then four cases performed secondary pneumatic lithotripsy under percutaneous nephrostomy after 5-7 days. Results;The stone clearance patients were 15cases（83. 3%）. Three cases residual stones patients. One case with residual stone down lower ureter, remove calculi by ureteroscope. Two cases with residual stones re ceived conservative treatments. The renal function in the group recover to the normal level or get progress afterop eration. Conclusions;Minimally invasive percutaneous nephrolithotomy is effective and safe in treatment solitary kidney calculi.

关 键 词：微创经皮肾取石术 孤立肾 结石 

分 类 号：R692[医药卫生—泌尿科学]