中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
12期
68-69
,共2页
经皮肾取石术%复杂性肾结石%微创手术
經皮腎取石術%複雜性腎結石%微創手術
경피신취석술%복잡성신결석%미창수술
Percutaneous nephrolithotomy%Renal calculi%Minimally invasive operation
目的 探讨微创经皮肾镜取石术(MPCNL)治疗复杂性肾结石的微创性、安全性、有效性.方法 本组106例复杂性肾结石121次手术均采用微创经皮肾镜取石术治疗.结果 121次手术中单通道取石89例,双通道29例,三通道3例,一期取石90例,二期取石11例,5例残留结石,配合体外冲击波碎石术(ESWL).结石取净率为92.6%,平均手术时间为91 min,出血100～900 ml,5例输血200～400 ml,无严重并发症发生.结论 微创经皮肾镜取石术治疗复杂性肾结石微创、安全、高效,具有临床推广应用价值.
目的 探討微創經皮腎鏡取石術(MPCNL)治療複雜性腎結石的微創性、安全性、有效性.方法 本組106例複雜性腎結石121次手術均採用微創經皮腎鏡取石術治療.結果 121次手術中單通道取石89例,雙通道29例,三通道3例,一期取石90例,二期取石11例,5例殘留結石,配閤體外遲擊波碎石術(ESWL).結石取淨率為92.6%,平均手術時間為91 min,齣血100～900 ml,5例輸血200～400 ml,無嚴重併髮癥髮生.結論 微創經皮腎鏡取石術治療複雜性腎結石微創、安全、高效,具有臨床推廣應用價值.
목적 탐토미창경피신경취석술(MPCNL)치료복잡성신결석적미창성、안전성、유효성.방법 본조106례복잡성신결석121차수술균채용미창경피신경취석술치료.결과 121차수술중단통도취석89례,쌍통도29례,삼통도3례,일기취석90례,이기취석11례,5례잔류결석,배합체외충격파쇄석술(ESWL).결석취정솔위92.6%,평균수술시간위91 min,출혈100～900 ml,5례수혈200～400 ml,무엄중병발증발생.결론 미창경피신경취석술치료복잡성신결석미창、안전、고효,구유림상추엄응용개치.
Objective To explore the safety, feasibility and superiority of minimally invasive percutaneous nephrolithotomy(MPCNL) in treating complicated renal calculi. Methods 106 patients suffering from complicated renal calculi were treated with 121 MPCNL. Results 89 cases underwent MPCNL with single tract ,29 cases with two tracts and 3 cases with three tracts in 106 patients. Renal calculi were cleared completely in 90 patients with one-staged MPCNL, 11 patients with two-staged MPCNL but 5 patients had residual renal calculi and treated with extracorporal shock wave lithotripsy(ESWL) afterwards. 92. 6% calculi free-rate was achieved. Average operation time was 91 minutes,bleeding ranged from 100 to 900 ml and 5 patients accepted 200～400 ml blood. There were no severe complications in all patients. Conclusion MPCNL is a minmally invasive, safe and effective operation for comlicated renal calculi.
