微创经皮肾镜取石术治疗马蹄肾结石9例报告  

Minimally invasive percutaneous nephrolithotomy in the treatment of calculi within horseshoe kidney(Report of nine cases)

作　　者：邢伟只 顾朝辉[1] 贾占奎[1] 丁亚飞[1] 何涛[1] 范新磊[1] 方楚言[2] 曾甫清[3] 杨锦建[1] 

机构地区：[1]郑州大学第一附属医院泌尿外科河南省泌尿外科研究所郑州市泌尿外科肿瘤分子生物学重点实验室,郑州450052 [2]河南大学人民武装学院 [3]华中科技大学同济医学院附属协和医院泌尿外科

出　　处：《临床泌尿外科杂志》2014年第5期375-377,共3页Journal of Clinical Urology

基　　金：国家自然科学基金项目(编号81100464/H0424;编号81200883/H0905);中国博士后科学基金(编号2012M521410);河南省卫生厅科技攻关项目(编号2011020039)

摘　　要：目的：探讨微创经皮肾镜取石术（MPCNL）治疗马蹄肾结石的可行性、安全性及有效性。方法：2008年11月～2013年6月采用MPCNL治疗马蹄肾结石患者9例11侧。结石直径平均2．1（1．1～3．1）cm。拔出输尿管支架管1个月后行彩超、腹部平片检查无残石或结石残块〈3mm视为取石成功。结果：9侧肾结石一期碎石清石取得成功，1侧肾结石行二期手术，1侧肾结石术后结石直径较小，未做处理。9例患者术后均未出现大出血、邻近器官损伤等情况。结论：采用MPCNL治疗马蹄肾结石是一种安全、有效的手术方式。Objective：To assess the safety, feasibility and efficacy of minimally invasive percutaneous nephro- lithotomy （MPCNL） in treating patients with calculi within horseshoe kidney. Method：We retrospectively investi- gated the medical data of 11 kidneys from nine patients which were taken minimally invasive percutaneous nephro- lithotomy in treating calculi within horseshoe kidney at our hospital from November 2008 to June 2013. The average diameter of stones was 2.1 （range, 1.1--3.1） cm. One month after pulling out the ureteral stents, if there is no stone or the diameter of residual stone 〈3 mm after color ultrasonography and abdominal plain film examination, the method could be considered as a success. Result：Primary removal of the calculi were achieved in stones of nine kidneys. Renal stones of one kidney was forced to undertake secondary procedure, and renal stones of another kidney was too small to be treated. No bleeding, adjacent organ damage and other injuries occurred. Conclusion： Minimally invasive percutaneous nephrolithotomy is a safe and effective operation for patients with calculi within horseshoe kidney.

关 键 词：马蹄肾 肾结石 微创经皮肾镜取石术 

分 类 号：R692.4[医药卫生—泌尿科学]