微创经皮肾镜取石术治疗上尿路结石的疗效观察  

Efficacy of Minimally Invasive Percutaneous Nephlithotomy in the Treatment of Upper Urinary Tract Calculus

作　　者：陈钦棋[1] 陈建德[1] 许炯煊[1] 林超禄[1] 

机构地区：[1]福建医科大学附属龙岩第一医院泌尿外科,福建龙岩364000

出　　处：《黑龙江医学》2016年第10期925-926,共2页Heilongjiang Medical Journal

摘　　要：目的探讨微创经皮肾镜取石术治疗上尿路结石的疗效及安全性。方法回顾分析258例行微创经皮肾镜取石术治疗上尿路结石患者的临床资料,均经B超、X光定位下采用F18单通道取石。结果手术均获得成功,手术时间60-120 min,平均80 min,平均住院天数9.5 d,一期结石清除率87.60%（226/258）。未出现肠道损伤、大出血、气胸及败血症等严重并发症。结论经皮肾镜取石术治疗上尿路结石损伤小,并发症少,安全有效,值得临床推广。Objective To evaluate the efficacy and safety of minimally invasive percutaneous nephrolithotomy in the treatment of upper urinary tract calculus. Methods 258 patients with upper urinary tract calculus were treated in F18 puncture channel with ultrasound and X-rays. Results All the operation were successful,the average operation time was 80 minutes,the average time of hospital stay was 9. 5day,and the stone-free rate was 87. 60%（ 226/258） in one session. No major complications were noted in all patients. Conclusion Minimally invasive percutaneous nephrolithotomy is safe and effective in the treatment of upper urinary tract calculus.

关 键 词：上尿路结石 微创经皮肾镜取石术 疗效 

分 类 号：R699.2[医药卫生—泌尿科学]