经皮肾镜碎石术治疗肾铸型结石60例经验总结  

Clinical effect of percutaneous nephrostolithotomy in the treatment of renal staghorn calculi

作　　者：毕建斌[1] 张乃文[1] 毕晓军[1] 张祥宇[1] 孔垂泽[1] 

机构地区：[1]中国医科大学附属第一医院泌尿外科,沈阳110001

出　　处：《中国医师进修杂志》2014年第2期26-28,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨经皮肾镜碎石术（PCNL）治疗肾铸型结石的安全性、有效性、治疗经验及操作技巧.方法 回顾性分析PCNL治疗60例肾铸型结石患者的临床资料.结果 60例患者中,Ⅰ期结石完全清除率为68.3％（41/60）,Ⅱ期结石清除率为73.3％（44/60）.术后结合体外冲击波碎石（ESWL）及输尿管镜取石术（URL）,完全清除率为93.3％（56/60）.结论 PCNL是治疗肾铸型结石安全、有效的微创治疗方法.具有熟练的操作经验、术后联合ESWL及URL可提高结石清除率,减少并发症.Objective To evaluate the safety,efficacy,experience and techniques of percutaneous nephrostolithotomy （PCNL） in treating renal staghorn calculi.Methods The clinical data of 60 patients with staghorn renal stone who underwent PCNL were analyzed retrospectively.Results The stone free rate was 68.3％（41/60） in the first procedure.Three patients were performed a secondary procedure.The stone free rate was 73.3％ （44/60） in the second procedure.The total stone free rate was 93.3％（56/60） after the procedure of extracorporeal shock wave lithotripsy （ESWL） and ureteroscopic lithotripsy （URL）.Conclusions PCNL is a safe and effective method for the staghorn renal calculi.The stone free rate may be improved with skilled operation experience and combination with ESWL and/or URL.

关 键 词：肾造口术 经皮 肾结石 外科手术 微创性 结石清除率 

分 类 号：R699.2[医药卫生—泌尿科学]