微创经皮肾镜治疗肾盏憩室并结石  

Treatment of Renal Caliceal Diverticular Calculi with Minimally Invasive Percutaneous Nephrolithotomy

作　　者：肖玉坤[1] 萧芝松[1] 文贵成[1] 郑宝寿[1] 杨立[1] 吴学东[1] 

机构地区：[1]大理学院附属医院,云南大理671000

出　　处：《大理学院学报（综合版）》2012年第12期50-52,共3页Journal of Dali University

摘　　要：目的：探讨经皮肾镜技术治疗肾盏憩室结石的临床疗效。方法：回顾性分析18例诊断为肾盏憩室并结石患者临床治疗资料。其采用B超结合C臂引导下定位穿刺建立经皮肾通道碎石成功，根据个体情况运用扩张憩室盏颈或电灼憩室囊壁两种方法处理肾盏憩室。结果：本组患者均获穿刺碎石成功，手术时间45～120（65．8±7．89）min，无严重并发症；术后随访3。24个月，憩室消失9例，明显缩小8例，1例虽结石复发但可保守观察。结论：经皮肾技术治疗肾盏憩室结石是微创、有效、安全的治疗手段。穿刺路径选择、小心建立通道以及憩室盏颈的处理是治疗肾盏憩室结石成功的关键。Objective： To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy （mPCNL） in treatment of renal calyceal diverticular calculi. Methods： Patients with a symptomatic calyceal diverticular calculi were underwent mPCNL under ultrasound and X-ray guidance, the percutaneous renal access were setup succeedly and the stones were smashed, and we use two methods for the diverticulum treatment according to the condition of patients： dilation the diverticular neck or fulguration of diverticular sac wall. Total 18 cases of clinical data were conducted retrospectively analysis. Results： All 18 cases were applied with percutaneous therapy successfully in the first time. The operative time was 45-120 （65.8±7.89） min, and no severe complications found. The follow-up time was 3 to 24 months, diverticulum was disappeared in 9 cases and reduced obviously in 8 cases. Stone recurrenceed in 1 case with conservative observation. Conclusion： mPCNL is an effective and feasible treatment option for symptomatic caliceal divertivular calculi. The percutaneous approach and infundibular neck treatment are keys to success rate of operation.

关 键 词：微创 经皮肾镜碎石术 肾盏憩室结石 

分 类 号：R692.4[医药卫生—泌尿科学]