经皮肾镜取石术在复发性肾结石二次手术中的治疗效果  

The treatment efficacy of percutaneous nephrolithotomy （PCNL） in secondary surgery of recurrent kidney stones

作　　者：那永刚[1] 尹传民 宋益挺[1] 赵刚刚[1] 乐进[1] 肖克兵[1] 

机构地区：[1]西安医学院第一附属医院泌尿外科,陕西西安710007

出　　处：《国际泌尿系统杂志》2014年第6期808-810,共3页International Journal of Urology and Nephrology

摘　　要：目的 评价经皮肾镜取石术（PCNL）在复发性肾结石二次手术中的临床效果及安全性.方法 回顾分析本院2010年6月至2013年7月间经皮肾镜取石术治疗24例复发性肾结石二次手术病例的临床资料.结果 24例患者均行一期PCNL手术,术后腹部平片显示,21例结石清除干净,净石率为87.5％;3例术后有残石者,1例患者系术中取石失败,术后行体外冲击波碎石术,1例行经输尿管镜碎石取石术,1例行第二次经皮肾镜取石术并术后辅以体外冲击波碎石术.手术时间40 - 110min,平均80min.术后无严重并发症发生.结论 经皮肾镜取石术是复发性肾结石二次手术治疗安全、有效的方法.Objectives To evaluate the efficacy and safety of percutaneous nephrolithotomy （PCNL） in secondary surgery of recurrent kidney stones.Methods Retrospective analysis of 24 cases of percutaneous nephrolithotomy in treatment of recurrent kidney stones in our hospital from 2010 June to 2013 July.Results 24 patients underwent PCNL surgery,and postoperative KUB showed 21 cases of stone cleared,of which stone clearance rate was 87.5％ ;3 patients had residual calculi.One patient who failed to take calculus underwent extracorporeal shock wave lithotripsy after surgery.A second PCNL was applied to one case with postoperative extracorporeal shock wave lithotripsy.Operation time was from 40 to 110 mins,average 80 mins.No serious complications occurred after operation.Conclusions Percutaneous nephrolithotomy is a safe and effective method in secondary surgery of recurrent kidney stones.

关 键 词：肾结石 肾造口术 经皮 

分 类 号：R692.4[医药卫生—泌尿科学]