多期多通道经皮肾镜取石术治疗完全性鹿角形结石  

Multi-stage Multi-Channel Percutaneous Nephrolithotomy Treatment Complete Staghorn Calculi

作　　者：段建军[1,2] 燕东亮[3] 王彭[4] 张建军[4] 

机构地区：[1]滨州医学院,山东滨州256603 [2]东明县人民医院泌尿外科,山东东明274500 [3]滨州医学院附属医院泌尿外科,山东滨州256603 [4]山东大学附属省立医院泌尿微创中心,山东济南250014

出　　处：《泌尿外科杂志（电子版）》2015年第4期30-33,共4页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的研究多期多通道经皮肾镜取石术(PNL)治疗完全性鹿角形结石的安全性及有效性。方法回顾性分析了本院2012年3月至2014年9月接受PNL治疗的完全性鹿角形肾结石患者的临床资料,共35例,双侧鹿角形结石5例,单侧30例,鹿角形结石共40枚。结果 40枚完全性鹿角形结石共穿刺126条通道,平均3.15条/枚。共行PNL术85期,平均2.1期/枚。手术时间76~260分钟,平均(96.2±14.5)分钟。结石清除率87.5%。输血2例,胸膜损伤1例,无其他严重并发症。术后平均住院时间(7.8+1.21)天。结论多期多通道经皮肾镜取石术治疗鹿角形结石安全可行,疗效确切,具有创伤小、恢复快、可反复操作等优点。Objective To assess the safety and the curative effect of treatment with multi-stage multi -channel percutaneous nephrolithotomy (PNL) in complete staghorn calculi.Methods Retrospective analysis in Mar 2012 to Sep 2014 by the method of treatment 35 patients with complete staghorn calculi ,of whom five had bilateral stones.Results 40 stones were built 126 tracts, the average being 3.15.85 stages were performed, the average being 2.1.The mean ( ±SD) operating time was (96.2 ±24.9) minutes, the stone-free rate was 87.5%, blood transfusions 2, membrane hazard 1, no other complications.Mean ( ±SD) postoperative hospital stay was (7.8+1.21) days.Conclusions Multi-stage multi-channel percutaneous nephrolithotomy treatment complete staghorn calculi is safe and effective .It may offer advantages with respect to less intraoperative and postoperative complications, less invasion and easy recovery.

关 键 词：鹿角形结石 多通道 多期 经皮肾镜碎石术 

分 类 号：R699[医药卫生—泌尿科学]