微创经皮肾镜碎石取石术治疗复杂性输尿管上段结石的疗效分析  

Efficacy Analysis of Minimally Invasive Percutaneous Nephrolithotomy in Treatment of Complicated Uretera Calculi

作　　者：康厚彬 朱卫国[1] 何秉勋 朱智虎 薛斌[1] 袁毅[1] 艾航宇 

机构地区：[1]四川省凉山州第二人民医院泌尿外科,四川西昌615000

出　　处：《临床医学工程》2011年第12期1840-1841,共2页Clinical Medicine & Engineering

摘　　要：目的探讨微创经皮肾镜碎石取石术在治疗复杂性输尿管上段结石中的疗效。方法回顾性分析180例复杂性输尿管上段结石经微创经皮肾镜治疗的临床资料。结果手术时间80~120分钟,平均（90±10）分钟,一次性手术成功率为100%,一次性结石取净率为99%,术中无附加手术干预,无严重手术并发症。结论微创经皮肾镜碎石取石术治疗复杂性输尿管上段结石具有创伤小、恢复快、结石取尽率高、安全有效等优点,可作为复杂性输尿管上段结石的首选治疗方法。Objective To evaluate the clinical effect of minimally invasive percutaneous nephrolithotomy （mPCNL） in treatment of complex upper ureteral calculi. Methods The clinical data of 180 patients with complex upper ureteral calculi treated by Mpcnl were retrospectively analyzed. Results Operation time was 80 to 120 minutes, with an average of （90 ± 10） minutes. One-time surgical success rate was 100%, and one-time stone-free rate was 99%, without additional surgical interventione and no serious complications. Conclusions Ninimally invasive percutaneous nephrolithotomy has the advantages of less trauma, faster recovery, higher stones depletion rate, safety and effectiveness, which can be used as first option in treatment of complex upper ureteral calculi.

关 键 词：复杂性输尿管结石 微创经皮肾镜术 

分 类 号：R693.4[医药卫生—泌尿科学]