超声引导微创经皮肾镜碎石取石术治疗复杂性肾结石  

Minimally invasive percutaneous nephrolithotomy under ultrasound guidance for treatment of complex renal calculi

作　　者：孙颖浩[1] 高小峰[1] 来丽丽[1] 王林辉[1] 高旭[1] 许传亮[1] 盛夏[1] 

机构地区：[1]第二军医大学长海医院泌尿外科,上海200433

出　　处：《上海医学》2004年第5期307-308,共2页Shanghai Medical Journal

摘　　要：目的　评估超声引导微创经皮肾镜碎石取石术 (PCNL)治疗复杂性肾结石的方法及效果。方法　对 5 8例接受超声引导微创PCNL的患者进行回顾性分析 ,其中结石直径 >2 .5cm 2 8例、鹿角形结石 4例、多发结石 2 0例、感染性结石 5例、孤立肾结石 1例。结果　单通道取石 34例 ,双通道 2 2例 ,三通道 2例 ,总结石取尽率为 92 % ;手术时间为 0 .5～ 4 .3h ,平均 2 .2h。 2例患者分别于术后 6和 2 8h发生急性大出血。结论　超声引导微创PCNL治疗复杂性肾结石安全、有效。Objective To evaluate the feasibility and availability of minimally invasive percutaneous nephrolithotomy (PCNL) under ultrasound guidance for treatment of complex renal calculi. Methods 58 patients were retrospectively investigated having complex renal calculi after treating with minimally invasive percutaneous nephrolithotomy under ultrasound guidance. Of these 58 cases, >2.5 cm renal calculi was found in 28 cases, staghorn calculi in 4, multiple calculi in 20, infective calculi in 5 and solitary renal calculi in 1. Results Single tract procedure was performed in 34 cases, two tracts in 22, three tracts in 2. The total stone clearence amounted to 92%. Average operative duration was 2.2 h. Two cases had massive hemorrhage at 6 h and 28 h respectively after the procedure. Conclusion Minimally invasive percutaneous nephrolithotomy under ultrasound guidance is effective and safe for treatment of complex renal calculi.

关 键 词：超声引导 微创 经皮肾镜碎石取石术 治疗 肾结石 

分 类 号：R699.2[医药卫生—泌尿科学]