CAJ | 학술논문

目的探讨标准通道联合微通道经皮肾镜一期治疗鹿角形肾结石的安全性和有效性。方法 2007年8月至2010年1月，采用标准通道联合微通道经皮肾镜一期治疗82例鹿角形肾结石。结果 82例均一期手术碎石。无严重并发症发生。手术时间45～190 min(平均85 min)，术中出血50～400 ml（平均95ml），术后住院时间 6～12 d（平均7.5d）。结石清除率90.2％ (74/82)，5例残余结石直径0.6 cm～1.0 cm，行体外冲击波碎石治疗，3例残余结石直径＜0.6 cm，口服药物排石。82例均随访3个月，复查彩色超声仅1例残留直径约0.7 cm肾下盏结石。结论彩色超声引导下标准通道联合微通道经皮肾镜一期治疗鹿角形肾结石创伤较小，残石率低，效率高，安全可行。
목적 탐토표준통도연합미통도경피신경일기치료록각형신결석적안전성화유효성。방법 2007년8월지2010년1월，채용표준통도연합미통도경피신경일기치료82례록각형신결석。결과 82례균일기수술쇄석。무엄중병발증발생。수술시간45～190 min(평균85 min)，술중출혈50～400 ml（평균95ml），술후주원시간 6～12 d（평균7.5d）。결석청제솔90.2％ (74/82)，5례잔여결석직경0.6 cm～1.0 cm，행체외충격파쇄석치료，3례잔여결석직경＜0.6 cm，구복약물배석。82례균수방3개월，복사채색초성부1례잔류직경약0.7 cm신하잔결석。결론 채색초성인도하표준통도연합미통도경피신경일기치료록각형신결석창상교소，잔석솔저，효솔고，안전가행。
Objective To discuss the safety and efficiency of color ultrasound guided standard percutaneous nephrolithotomy combined with min-percutaneous nephrolithotomy in the one-stage treatment of staghorn renal calculi. Methods Eighty-two patients with stag horn renal calculi were treated by color ultrasound guided standard percutaneous nephrolithotomy combined with min-percutaneous nephrolithotomy from August 2007 to January 2010.Results The operations of all 82 patients were successful. The operation time ranged from 45 to 190minutes (mean, 85 minutes), the blood loss ranged from 50 to 400ml (mean,95ml) and the post-operation hospital stay ranged from 6 to 12 days( mean ,7.5 days). The clearance rate of stone in one stage was 90.2％ ( 74/82), 82 patients were followed up for 3 months and only one stone was found by color uhrasonography. Conclusion Color ultrasound guided standard percutaneous nephrolithotomy combined with min-percutaneous ephrolithotomy in the onestage treatment of staghorn renal calculi has the advantages of minimal invasion, high stone clearance rate,high efficiency few complication and safety.