CAJ | 학술논문

目的：探讨无管化微创经皮肾镜取石术治疗上尿路结石的可行性和安全性。方法回顾性分析31例无管化微创经皮肾镜取石术的临床资料。结果31例均顺利完成手术。术后发现残留结石1例，经体外冲击波碎石术（ ESWL ）治疗后残留结石排出，本组取净结石率为96.8％。手术时间34～56 min，平均42.8 min。术后2例需要输血，其中1例进行高选择性肾动脉介入治疗止血。术后住院3～7 d，平均4.3 d。结论选择性地对微创经皮肾镜取石术进行无管化处理，是一种安全、可行的处理方法，值得临床推广应用。
목적：탐토무관화미창경피신경취석술치료상뇨로결석적가행성화안전성。방법회고성분석31례무관화미창경피신경취석술적림상자료。결과31례균순리완성수술。술후발현잔류결석1례，경체외충격파쇄석술（ ESWL ）치료후잔류결석배출，본조취정결석솔위96.8％。수술시간34～56 min，평균42.8 min。술후2례수요수혈，기중1례진행고선택성신동맥개입치료지혈。술후주원3～7 d，평균4.3 d。결론선택성지대미창경피신경취석술진행무관화처리，시일충안전、가행적처리방법，치득림상추엄응용。
Objective To explore the efficacy and safety of tubeless minimally invasive percutaneous nephro -lithotomy(mPCNL) in the treatment of upper urinary tract calculi .Methods A retrospective analysis was performed on clinical data of 31 cases of tubeless mPCNL .Results The operations in 31 cases were successfully completed . Residual stones was found in one case , the stones were eliminated after extracorpoveal shock wave lithotripsy (ESWL) treatment.The stone free rate was 96.8%.The operation time was 34~56 min, with an average of 42.8 min.Blood transfusion after operation were in 2 cases, in which one case received highly selective renal artery embolization and got stopping bleeding .The postoperative hospitalization time was 3~7 d, with an average of 4.3 d.Conclusion The tubeless of mPCNL was safe and efective when the patients are selected by certain criteria ,it is worthy of clinical ap-plication .