微创经皮肾镜取石术治疗肾脏鹿角状结石的临床研究  

作　　者：肖茂林[1] 刘士贵[1] 张峻[1] 

机构地区：[1]广西柳州市中医院,广西545001

出　　处：《当代医学》2013年第15期45-46,共2页Contemporary Medicine

摘　　要：目的探讨微创经皮肾镜取石术治疗肾脏鹿角状结石的有效性和安全性。方法选取2008年12月-2012年6月开展微创经皮肾镜取石治疗上尿路鹿角状结石120例,统计分析结石清除率、手术时间和手术并发症情况。结果一期碎取石109例,二期碎取石18例;清除部分鹿角状结石平均用时95min,清除完全鹿角状结石132min,平均清除时间为116min,110例结石取净,较少出现并发症。结论微创经皮肾镜取石微创、痛苦小、手术时间短,术后并发症少,且操作安全、结石排净率高,是治疗肾脏鹿角状结石的有效方法。Objective To evaluate the efficacy and salty of minimally invasive percutaneous nephrolithotomy （MPCNL） in the treatment of staghorn stone. Methods From December 2008 to June 2012, 120 cases of staghorn stone were performed MPCNL, and the clinical data of operation time, stone clearance rate and operative complications were retrospectively analysed. Results One-stage operation was performed in 109 cases, two- stage in 18; the partial staghom clearance cost 95 min in average, the full staghorn clearance cost 132 min in average, the mean operation time was 116 min. Complete stone clearance was achieved in 110 renalunits. Conclusion MPCNL has definite efficacy in the treatment of staghom stone with less invasion, bleeding and complications, as well as higher clearance rate.

关 键 词：经皮肾镜 鹿角状结石 碎石术 

分 类 号：R699[医药卫生—泌尿科学]