侧卧位经皮肾镜取石术临床分析:附83例报告  

Percutaneous nephrolithotomy in lateral position lithotomy:Report of 83 cases

作　　者：冯自卫[1] 冼志勇[1] 李东[1] 叶楚津[1] 陈汉忠[1] 刘久敏[1] 郑祥光[1] 

机构地区：[1]广东省人民医院(广东省医学科学院)泌尿外科,广州510080

出　　处：《中华腔镜泌尿外科杂志（电子版）》2011年第5期32-34,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的评价侧卧位经皮肾镜取石术(PCNL)的临床应用效果。方法对我院从2008年6月至2010年10月间采用侧卧位经皮肾镜取石术的83例患者资料进行回顾性分析总结。其中男60例,女23例,左肾结石43例,右肾结石30例,双肾结石10例,其中孤立肾1例。结果本组83例患者除1例术中改开放,2例结石残留,其余均一次性碎石取石成功,手术时间60～180min,平均92min。术后复查血红蛋白下降8～27g/L,无其他并发症发生。术后1～2d拔尿管,2～5d拔除肾造瘘管后出院,4周后返院拔除双J管。结论侧卧位PCNL具有创伤轻、并发症少、结石清除率高、恢复快的优点,值得推广应用。Objective To evaluate the clinical effect of pereutaneous nephrolithotomy（PCNL） in lateral position. Methods Eight-three patients with renal calculus from June 2008 to October 2010 were treated by PCNL in lateral position. There were 60 males and 23 females. Forty-three patients got stones in the left kidney, 30 in the right kidney, 10 in both kidneys. Of which one patients had solidary kidney. Resuits One case was converted to open surgery and 2 cases with residual calculus for second stage surgery, while 80 cases were treated successfully and completely, the operation time was between 60-180 minutes （average of 92）. Hemoglobin declined by 8-27 g/L postoperatively, no complications occurred. Catheter was removed 1-2 day later, and patients were discharged while the fistula was removed 2-5 days postoperatively. Double-J stent was pulled out in 4 weeks after the PCNL. Conclusion Because of the less invasion, fewer complications, higher stone free rate and faster recovery in lateral position PCNL, this surgery should be widely applied.

关 键 词：侧卧位 经皮肾镜取石 肾结石 

分 类 号：R699[医药卫生—泌尿科学]