中华腔镜泌尿外科杂志（电子版）
中華腔鏡泌尿外科雜誌（電子版）
중화강경비뇨외과잡지（전자판）
CHINESE JOURNAL OF ENDOUROLOGY(ELECTRONIC VERSION)
2009年
6期
497-499
,共3页
屈国欣%王丽琴%魏燕%万德礼%杨景勋%郭青良%李逊%高建光
屈國訢%王麗琴%魏燕%萬德禮%楊景勛%郭青良%李遜%高建光
굴국흔%왕려금%위연%만덕례%양경훈%곽청량%리손%고건광
微造瘘%经皮肾%上尿路%结石
微造瘺%經皮腎%上尿路%結石
미조루%경피신%상뇨로%결석
MPCNL%Upper urinary%Calculi
目的 探讨微造瘘经皮肾输尿管镜取石术(MPCNL)治疗上尿路结石的疗效.方法 对450例从2000年 5月至2009年3月应用MPCNL治疗上尿路结石患者的临床资料进行回顾性分析. 结果 450例患者均穿刺成功,Ⅰ期手术时间 80±25 min,平均76 min,估计术中出血量约50~140 ml,其中381例行Ⅰ期取石,61例行Ⅱ期取石,8例行Ⅲ期取石,平均结石清除率90.18%;建立单通道取石443例,双通道取石7例,术后平均住院天数8 d,肾造瘘管平均留置时间7.5 d,术中术后有明显出血16例,1例出现术后不可控制出血,经介入治疗失败行患肾切除术,余均经保守治疗治愈;2例术后出现尿外渗,经调整肾造瘘管位置后治愈. 结论微造瘘经皮肾输尿管镜取石术治疗上尿路结石安全、有效,对患者创伤小、恢复快、结石清除率高、并发症少,疗效满意.
目的 探討微造瘺經皮腎輸尿管鏡取石術(MPCNL)治療上尿路結石的療效.方法 對450例從2000年 5月至2009年3月應用MPCNL治療上尿路結石患者的臨床資料進行迴顧性分析. 結果 450例患者均穿刺成功,Ⅰ期手術時間 80±25 min,平均76 min,估計術中齣血量約50~140 ml,其中381例行Ⅰ期取石,61例行Ⅱ期取石,8例行Ⅲ期取石,平均結石清除率90.18%;建立單通道取石443例,雙通道取石7例,術後平均住院天數8 d,腎造瘺管平均留置時間7.5 d,術中術後有明顯齣血16例,1例齣現術後不可控製齣血,經介入治療失敗行患腎切除術,餘均經保守治療治愈;2例術後齣現尿外滲,經調整腎造瘺管位置後治愈. 結論微造瘺經皮腎輸尿管鏡取石術治療上尿路結石安全、有效,對患者創傷小、恢複快、結石清除率高、併髮癥少,療效滿意.
목적 탐토미조루경피신수뇨관경취석술(MPCNL)치료상뇨로결석적료효.방법 대450례종2000년 5월지2009년3월응용MPCNL치료상뇨로결석환자적림상자료진행회고성분석. 결과 450례환자균천자성공,Ⅰ기수술시간 80±25 min,평균76 min,고계술중출혈량약50~140 ml,기중381례행Ⅰ기취석,61례행Ⅱ기취석,8례행Ⅲ기취석,평균결석청제솔90.18%;건립단통도취석443례,쌍통도취석7례,술후평균주원천수8 d,신조루관평균류치시간7.5 d,술중술후유명현출혈16례,1례출현술후불가공제출혈,경개입치료실패행환신절제술,여균경보수치료치유;2례술후출현뇨외삼,경조정신조루관위치후치유. 결론미조루경피신수뇨관경취석술치료상뇨로결석안전、유효,대환자창상소、회복쾌、결석청제솔고、병발증소,료효만의.
Objective To assess the efficacy of minimally invasive percutaneous nephrolithotomy(MPCNL) in upper urinary calculi. Methods Data of 450 patients with upper urinary calculi by MPCNL from May 2000 to March 2009 were reviewed and evaluated. Results The puncture successed by one pricking in 450 case. The operation time was 80±25 minutes in Ⅰ session MPCNL, Total bleeding volume were about 50-140 ml. Among 450 cases,381 cases achieved one-stage MPCNL,61 cases achieved Ⅱsession MPCNL , 8 cases achieved Ⅲ session MPCNL complete stone clearance rate was 90.18%; 443 case in the establishment of single-channel,7 case in the establishment of double-channel, average hospitalization stay was 8 days,average nephrostomy tube indwelling time was 7.5 days, hemorrhage in 16 case, uncontrollable bleeding after emergence in 1 cases , treatment failure by interventional therapy is in nephrectomy, remaining cured by drug therapy. Urinary extravasation in 2 cases, cured by adjusting the location of nephrostomy fistula. Conclusions MPCNL offers advantages with respect to mini-invasiveness,easy recovery,high stone-free rate,less complication and good effect.
