CAJ | 학술논문

目的评价经皮肾镜取石术(PCNL)在复发性肾结石二次手术中的临床效果及安全性.方法回顾分析本院2010年6月至2013年7月间经皮肾镜取石术治疗24例复发性肾结石二次手术病例的临床资料.结果 24例患者均行一期PCNL手术,术后腹部平片显示,21例结石清除干净,净石率为87.5％;3例术后有残石者,1例患者系术中取石失败,术后行体外冲击波碎石术,1例行经输尿管镜碎石取石术,1例行第二次经皮肾镜取石术并术后辅以体外冲击波碎石术.手术时间40 ～ 110min,平均80min.术后无严重并发症发生.结论经皮肾镜取石术是复发性肾结石二次手术治疗安全、有效的方法.
목적 평개경피신경취석술(PCNL)재복발성신결석이차수술중적림상효과급안전성.방법 회고분석본원2010년6월지2013년7월간경피신경취석술치료24례복발성신결석이차수술병례적림상자료.결과 24례환자균행일기PCNL수술,술후복부평편현시,21례결석청제간정,정석솔위87.5％;3례술후유잔석자,1례환자계술중취석실패,술후행체외충격파쇄석술,1례행경수뇨관경쇄석취석술,1례행제이차경피신경취석술병술후보이체외충격파쇄석술.수술시간40 ～ 110min,평균80min.술후무엄중병발증발생.결론 경피신경취석술시복발성신결석이차수술치료안전、유효적방법.
Objectives To evaluate the efficacy and safety of percutaneous nephrolithotomy (PCNL) in secondary surgery of recurrent kidney stones.Methods Retrospective analysis of 24 cases of percutaneous nephrolithotomy in treatment of recurrent kidney stones in our hospital from 2010 June to 2013 July.Results 24 patients underwent PCNL surgery,and postoperative KUB showed 21 cases of stone cleared,of which stone clearance rate was 87.5％ ;3 patients had residual calculi.One patient who failed to take calculus underwent extracorporeal shock wave lithotripsy after surgery.A second PCNL was applied to one case with postoperative extracorporeal shock wave lithotripsy.Operation time was from 40 to 110 mins,average 80 mins.No serious complications occurred after operation.Conclusions Percutaneous nephrolithotomy is a safe and effective method in secondary surgery of recurrent kidney stones.