CAJ | 학술논문

目的探讨同期双侧经皮肾镜取石术(simultaneous bilateral percutaneous nephrolithotripsy,SBPCNL)在双侧复杂性上尿路结石治疗中的安全性及疗效.方法回顾性分析本院2009年8月～2012年9月应用SBPCNL治疗11例双侧复杂性上尿路结石的临床资料.结果 11例均同期完成双侧手术,其中双通道取石者6例7术侧.1例第2术侧因大出血中止手术.术后复查Ⅰ期取净双侧结石7例；4例发现残余结石,均行Ⅱ期经肾造瘘取石,复查3例取净.Ⅰ期清石率63.6％(7/11),总清石率90.9％(10/11).总手术时间平均(155±35) min,术中总出血量平均值估计(370±90)ml.术后发热3例,输血1例,无严重并发症发生.术后平均住院时间(7.5±1.5)d.结论合理选择病例,SBPCNL治疗双侧复杂性上尿路结石安全可行、疗效较好.
목적 탐토동기쌍측경피신경취석술(simultaneous bilateral percutaneous nephrolithotripsy,SBPCNL)재쌍측복잡성상뇨로결석치료중적안전성급료효.방법 회고성분석본원2009년8월～2012년9월응용SBPCNL치료11례쌍측복잡성상뇨로결석적림상자료.결과 11례균동기완성쌍측수술,기중쌍통도취석자6례7술측.1례제2술측인대출혈중지수술.술후복사Ⅰ기취정쌍측결석7례；4례발현잔여결석,균행Ⅱ기경신조루취석,복사3례취정.Ⅰ기청석솔63.6％(7/11),총청석솔90.9％(10/11).총수술시간평균(155±35) min,술중총출혈량평균치고계(370±90)ml.술후발열3례,수혈1례,무엄중병발증발생.술후평균주원시간(7.5±1.5)d.결론 합리선택병례,SBPCNL치료쌍측복잡성상뇨로결석안전가행、료효교호.
Objectives To discuss the safety and efficacy of simultaneous bilateral percutaneous nephrolithotripsy(SBPCNL) for bilateral complicated upper urinary Tract Calculus.Methods Retrospective analysis:the clinical data of 11 cases who underwent SBPCNL for bilateral complicated upper urinary Tract Calculus from Aug.2009 to Sep.2012.Results All the 11_patients were performed bilateral operation simultaneously,of which 6 cases underwent SBPCNL with two channels for 7 laterals and one case was suspend the operation for the massive hemorrhage during the second lateral operation.7 patients were not found the residual stones in the bilateral renal after stage 1th and 4 patients were found and to get the fistulization lithotomy,of which 3 cases had taken net the residual stones after stage 2th.The total stone free rate was 90.9％ (10/11) and the one stage free rate 63.6％ (7/11).The total average operational times,intraoperative bleeding and postoperative hospital stays were (155 ± 35) min,(370 ±90) nl,and (7.5 ± 1.5)d respectively.No severe complications occurred except postoperative fever in 3 cases and blood transfusion in one case.Conclusions SBPCNL might be safe and effective for bilateral complicated upper urinary Tract Calculus for selected patients.