微创经皮肾双导管超声碎石治疗复杂性肾结石疗效观察  

Efficacy of Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Complex Renal Calculi

作　　者：庞桂建[1] 刘成倍[1] 徐伟[1] 王祥林[1] 丘伟峰[1] 钱冲[1] 

机构地区：[1]广西医科大学第六附属医院泌尿外科,广西玉林市537000

出　　处：《中国全科医学》2013年第3期316-317,共2页Chinese General Practice

摘　　要：目的探讨微创经皮肾双导管超声碎石治疗复杂性肾结石的有效性及安全性。方法选取2009年5月—2012年2月我院收治的复杂性肾结石63例,均采用微创经皮肾双导管超声碎石术治疗。观察患者术后结石取净率及并发症发生情况。结果 63患者术后1次取净结石49例(77.8%),2次取净6例(9.5%),3次取净3例(4.8%),5例(7.9%)术后辅助体外冲击波碎石(ESWL)治疗。结石总取净率为92.1%(58/63),肾盂梗阻解除率为100.0%(63/63)。手术时间90～180 min,平均120 min。术中出血量为50～120 ml,平均80 ml。术中、术后无严重的并发症发生。结论微创经皮肾双导管超声碎石治疗复杂性肾结石是一种安全、有效的方法。Objective To evaluate the efficacy and safety of minimally invasive percutaneous nephrolithotomy（MPCNL） in the treatment of complex renal calculi. Methods 63 patients with complex renal calculi admitted to our hospital from May 2009 to February 2012 were treated by MPCNL.The stone free rate and complication of the patients were observed after treatment. Results Among the 63 cases,49 cases（77.8%） had stone freed one time,and 6 cases（9.5%） two times,3 cases（4.8%） three times,and 5 cases（7.9%） were given ESWL treatment after surgery.The overall stone free rate was 92.1%（58/63） and the clearance rate of pelvis obstruction was 100.0%（63/63）.The operation time was from 90 to 180 minutes with an average of 120 minutes.The blood loss was from 50 to 120 ml with an average of 80 ml.No major complication was noted during and after surgery. Conclusion MPCNL is an effective and safe method in the treatment of complex renal calculi.

关 键 词：肾结石 碎石术 肾造口术 经皮 治疗结果 

分 类 号：R692.4[医药卫生—泌尿科学]