中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
2期
26-28
,共3页
毕建斌%张乃文%毕晓军%张祥宇%孔垂泽
畢建斌%張迺文%畢曉軍%張祥宇%孔垂澤
필건빈%장내문%필효군%장상우%공수택
肾造口术,经皮%肾结石%外科手术,微创性%结石清除率
腎造口術,經皮%腎結石%外科手術,微創性%結石清除率
신조구술,경피%신결석%외과수술,미창성%결석청제솔
Nephrostomy,percutaneous%Kidney calculi%Surgical procedures,minimally invasive%Stone free rate
目的 探讨经皮肾镜碎石术(PCNL)治疗肾铸型结石的安全性、有效性、治疗经验及操作技巧.方法 回顾性分析PCNL治疗60例肾铸型结石患者的临床资料.结果 60例患者中,Ⅰ期结石完全清除率为68.3％(41/60),Ⅱ期结石清除率为73.3％(44/60).术后结合体外冲击波碎石(ESWL)及输尿管镜取石术(URL),完全清除率为93.3％(56/60).结论 PCNL是治疗肾铸型结石安全、有效的微创治疗方法.具有熟练的操作经验、术后联合ESWL及URL可提高结石清除率,减少并发症.
目的 探討經皮腎鏡碎石術(PCNL)治療腎鑄型結石的安全性、有效性、治療經驗及操作技巧.方法 迴顧性分析PCNL治療60例腎鑄型結石患者的臨床資料.結果 60例患者中,Ⅰ期結石完全清除率為68.3％(41/60),Ⅱ期結石清除率為73.3％(44/60).術後結閤體外遲擊波碎石(ESWL)及輸尿管鏡取石術(URL),完全清除率為93.3％(56/60).結論 PCNL是治療腎鑄型結石安全、有效的微創治療方法.具有熟練的操作經驗、術後聯閤ESWL及URL可提高結石清除率,減少併髮癥.
목적 탐토경피신경쇄석술(PCNL)치료신주형결석적안전성、유효성、치료경험급조작기교.방법 회고성분석PCNL치료60례신주형결석환자적림상자료.결과 60례환자중,Ⅰ기결석완전청제솔위68.3％(41/60),Ⅱ기결석청제솔위73.3％(44/60).술후결합체외충격파쇄석(ESWL)급수뇨관경취석술(URL),완전청제솔위93.3％(56/60).결론 PCNL시치료신주형결석안전、유효적미창치료방법.구유숙련적조작경험、술후연합ESWL급URL가제고결석청제솔,감소병발증.
Objective To evaluate the safety,efficacy,experience and techniques of percutaneous nephrostolithotomy (PCNL) in treating renal staghorn calculi.Methods The clinical data of 60 patients with staghorn renal stone who underwent PCNL were analyzed retrospectively.Results The stone free rate was 68.3％(41/60) in the first procedure.Three patients were performed a secondary procedure.The stone free rate was 73.3％ (44/60) in the second procedure.The total stone free rate was 93.3％(56/60) after the procedure of extracorporeal shock wave lithotripsy (ESWL) and ureteroscopic lithotripsy (URL).Conclusions PCNL is a safe and effective method for the staghorn renal calculi.The stone free rate may be improved with skilled operation experience and combination with ESWL and/or URL.
