超声引导下微创经皮肾钬激光碎石取石术200例治疗体会  

Treatment of 200 cases of renal and ureteral stone by minimally invasive percutaneous nephrolithotomy

作　　者：左自立[1] 程勇[2] 张子江[1] 吴强[1] 韩德军[1] 辛彩霞[3] 

机构地区：[1]仁寿县人民医院泌尿外科,四川仁寿620500 [2]泸州医学院附属医院泌尿外科 [3]仁寿县人民医院呼吸内科

出　　处：《泸州医学院学报》2014年第2期146-149,共4页Journal of Luzhou Medical College

基　　金：四川省卫生厅科研课题(编号130544)

摘　　要：目的:总结微创经皮肾钬激光碎石取石术治疗肾结石及L4以上的输尿管结石的经验与疗效。方法:回顾性分析200例采用mPNL治疗肾结石和L4以上输尿管结石的患者资料。结果:145例患者一期取石,55例二期取石。结石清除率92%,平均手术时间73 min,平均住院时间11.3 d。3例术中术后输血4U,2例转开放手术止血,1例术中损伤叶间血管,行栓塞治疗。2例术中未查见结石转为开放手术。B超随访3月,未见手术相关并发症。结论:mPNL具有创伤小、出血少及并发症少等优点,治疗肾结石及L4以上的输尿管结石有较大优越性,是安全、理想的方法。Objective： To study the efficacy and experience of minimally invasive percutaneous nephrolithotomy（mPNL） in treating renal and ureteral calculi. Methods： The data of 200 patients with renal andureteral calculi ureter who had undergone mPNL from January 2010 to September 2012 were retrospectively analyzed. Results： Of the 200 cases,145 underwent one-stage mPNL,and 55 two-stage mPNL. The total stone clearance rate was 92%. The mean operative time was 73 min, and mean hospital stay was 13.3 d. 3 cases received blood transfusion. 2 cases converted to open surgery for hemostatic treatment. 1 case whose interlobar blood vessels were damaged was transferred to higher level hospital for embolization. 2 cases converted to open surgery because no calculus was found. Conclusion： mPNL has advantages of minimal invasion,less blood loss, fewer complications,which it is safe and effective in treating renal and ureteral calculi.

关 键 词：B超 肾结石 输尿管结石 经皮肾碎石取石术 

分 类 号：R692.4[医药卫生—泌尿科学]