超微经皮肾镜取石术治疗2～2.5 cm肾结石  

Efficacy of Super-mini Percutaneous Nephrolithotomy in the Treatment of 2-2.5 cm Renal Calculi

作　　者：梁福律 涂建平[1] 林剑峰[1] 郭昭建[1] 范先明[1] 张遵俊[1] 胡力仁 Liang Fulv;Tu Jianping;Lin Jianfeng(Department of Urology,Third Hospital of Xiamen,The Affiliated Hospital of Fujian TCM University,Xiamen 361100,China)

机构地区：[1]福建中医药大学附属厦门市第三医院泌尿外科,厦门361100

出　　处：《中国微创外科杂志》2018年第12期1137-1138,1142,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨超微经皮肾镜取石术(super-mini percutaneous nephrolithotomy,SMP)治疗2～2. 5 cm肾结石的安全性及有效性。方法回顾性分析2017年3月～2018年3月32例SMP治疗2～2. 5 cm肾结石的临床资料。结果 31例顺利完成手术,1例因术中出血导致视野模糊而终止手术,术后1个月复查残石直径约0. 9 cm。1例肾中盏结石术后1个月复查残留结石约0. 7 cm。此2例均辅助行体外冲击波碎石(extracorporeal shock-wave lithotripsy,ESWL)治疗后排出。术后1个月清石率93. 8%(30/32)。术后均无大出血、发热等并发症发生。结论 SMP治疗2～2. 5 cm肾结石安全有效。Objective To evaluate the safety and efficacy of super-mini percutaneous nephrolithotomy(SMP)in the treatment of 2-2.5 cm renal calculi.Methods A retrospective analysis was made on general clinical data of 32 cases who had 2-2.5 cm renal calculi treated by super-mini percutaneous nephrolithotomy between March 2017 and March 2018.Results The operations were performed successfully in 31 cases.And the operation was discontinued due to intraoperative bleeding in 1 case.At 1 month after operation,a residual fragment about 0.9 cm was found.In 1 case of middle calyx stones,a residual fragment about 0.7 cm was found at 1 month after operation.The two cases were cured by extracorporeal shock-wave lithotripsy(ESWL).The stone-free rate was 93.8%(30/32)at the first month after operation.No heavy bleeding or fever occurred in any patient after operation.Conclusion SMP is effective to treat 2-2.5 cm renal calculi.

关 键 词：超微经皮肾镜取石术 肾结石 

分 类 号：R699.2[医药卫生—泌尿科学]