CAJ | 학술논문

目的：评估以11（12）肋尖部为标志盲穿经皮肾镜取石术(mPCNL)的方法及效果。方法以11（12）肋尖部为标志盲穿建立经皮肾镜工作通道治疗上尿路结石。结果80例均能准确进入肾盏目标位置，5例中转小C臂X线引导方式建立手术通道，78例一次取净，7例症状不明显的残余结石，加行 ESWL辅助治疗后排出体外。建立手术工作通道平均时间10±3.2min，无工作通道建立过程中常见的严重并发症发生。结论以11（12）肋尖部为标志盲穿可以为中、重度肾积水的患者行mPCNL术，提供安全、准确的工作通道。对mPCNL术有重要的临床应用价值。
목적：평고이11（12）륵첨부위표지맹천경피신경취석술(mPCNL)적방법급효과。방법이11（12）륵첨부위표지맹천건립경피신경공작통도치료상뇨로결석。결과80례균능준학진입신잔목표위치，5례중전소C비X선인도방식건립수술통도，78례일차취정，7례증상불명현적잔여결석，가행 ESWL보조치료후배출체외。건립수술공작통도평균시간10±3.2min，무공작통도건립과정중상견적엄중병발증발생。결론이11（12）륵첨부위표지맹천가이위중、중도신적수적환자행mPCNL술，제공안전、준학적공작통도。대mPCNL술유중요적림상응용개치。
Objective evaluation to 11 ( 12) rib tip as markers of blind in percutaneous nephrolithotomy ( mPCNL ) method and ef ect. Method 11 ( 12) rib tip as markers of blind wear established percutaneous nephroscope working channel for the treatment of upper urinary calculus. Results 80 cases were accurately into the renal calyceal target position, 5 cases were converted to smal C arm X-ray guided modes of establishing operation channel, a 78 examples fetch net, 7 cases with obvious symptoms of residual stones, combined with ESWL adjuvant therapy after discharge in vitro. Establish the working channel average operation time was 10 ± 3.2min, without working channel in the process of the establishment of common and serious complication. Conclusion 11 ( 12) rib tip as markers of blind wear can provide, severe hydronephrosis underwent mPCNL operation, to provide a safe, accurate working channel. The mPCNL operation has important clinical application value.