微通道经皮肾镜术处理上尿路结石的疗效探讨  

The Efficacy of Mini-PCNL in the Treatment of Upper Urinary Tract Calculi

作　　者：陈兵海[1] 孙浩[1] 张顺兴[1] 郭涛[1] 吴永平[1] 

机构地区：[1]江苏大学附属医院,江苏镇江212000

出　　处：《中外医学研究》2014年第27期1-3,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：湖南省卫生厅项目(项目编号:132012-032;132013-030);镇江市科技计划资助项目(项目编号:FZ2011041);江苏省卫生厅重大项目(项目编号:Q201408)

摘　　要：目的：分析微通道经皮肾镜取石术（mPCNL）处理上尿路结石的疗效和安全性。方法：收集江苏大学附属医院2007年1月-2014年4月mPCNL处理上尿路结石患者共计91例,其中肾结石共51例,输尿管上段结石共22例,肾结石合并有输尿管上段结石共18例。其中多发性肾结石或鹿角形肾结石共计12例。结果：本组病例89例手术成功,手术时间为45~162 min,结石清除率达86.5%（77/89）。所有患者未出现血气胸、腹腔脏器严重损伤、肾切除等严重手术并发症。术后未出现严重出血,术后有4例患者出现发热。结论：采用mPCNL处理上尿路结石结石取净率较高,手术较为安全,mPCNL在降低术中术后出血、输血率及其余手术并发症等具有明显优势。Objective：To evaluate the safety and efficacy of mini-PCNL in the treatment of upper urinary tract calculi.Method：91 patients with upper urinary tract calculi were admitted from January 2007 to April 2014.The patients included 51 cases of renal stones,22 cases of upper urinary tract calculi,and 18 combined cases.There were 12 cases of multiple stones and staghorn stones.Result：89 cases were successfully,and the operation time varies from 45 to 162 min.The stone clearance rate was 86.5%（77/89）.There were no serious complications such as hemopneumothorax,injury of viscera,and resection of kidney.There was no serious post-operation bleeding,however,4 patients had got fever.Conclusion：The treatment of mPCNL for upper urinary tract calculi,including renal stones,can receive high rate of stone clearance,high safety,and lower surgical bleeding,blood transfusion and other complications.

关 键 词：肾结石 微通道经皮肾镜取石术 钬激光 

分 类 号：R699.2[医药卫生—泌尿科学]