CAJ | 학술논문

目的：分析微通道经皮肾镜取石术(mPCNL)处理上尿路结石的疗效和安全性。方法：收集江苏大学附属医院2007年1月-2014年4月mPCNL处理上尿路结石患者共计91例，其中肾结石共51例，输尿管上段结石共22例，肾结石合并有输尿管上段结石共18例。其中多发性肾结石或鹿角形肾结石共计12例。结果：本组病例89例手术成功，手术时间为45~162 min，结石清除率达86.5%(77/89)。所有患者未出现血气胸、腹腔脏器严重损伤、肾切除等严重手术并发症。术后未出现严重出血，术后有4例患者出现发热。结论：采用mPCNL处理上尿路结石结石取净率较高，手术较为安全，mPCNL在降低术中术后出血、输血率及其余手术并发症等具有明显优势。
목적：분석미통도경피신경취석술(mPCNL)처리상뇨로결석적료효화안전성。방법：수집강소대학부속의원2007년1월-2014년4월mPCNL처리상뇨로결석환자공계91례，기중신결석공51례，수뇨관상단결석공22례，신결석합병유수뇨관상단결석공18례。기중다발성신결석혹록각형신결석공계12례。결과：본조병례89례수술성공，수술시간위45~162 min，결석청제솔체86.5%(77/89)。소유환자미출현혈기흉、복강장기엄중손상、신절제등엄중수술병발증。술후미출현엄중출혈，술후유4례환자출현발열。결론：채용mPCNL처리상뇨로결석결석취정솔교고，수술교위안전，mPCNL재강저술중술후출혈、수혈솔급기여수술병발증등구유명현우세。
Objective:To evaluate the safety and efficacy of mini-PCNL in the treatment of upper urinary tract calculi.Method:91 patients with upper urinary tract calculi were admitted from January 2007 to April 2014.The patients included 51 cases of renal stones,22 cases of upper urinary tract calculi,and 18 combined cases.There were 12 cases of multiple stones and staghorn stones.Result:89 cases were successfully,and the operation time varies from 45 to 162 min.The stone clearance rate was 86.5%(77/89).There were no serious complications such as hemopneumothorax,injury of viscera,and resection of kidney.There was no serious post-operation bleeding,however,4 patients had got fever.Conclusion:The treatment of mPCNL for upper urinary tract calculi,including renal stones,can receive high rate of stone clearance,high safety,and lower surgical bleeding,blood transfusion and other complications.