CAJ | 학술논문

目的探讨X线监视下微创经皮肾镜取石术(MPCNL)治疗上尿路结石的疗效及安全性.方法回顾分析应用X线监视下MPCNL治疗上尿路结石132例患者的临床资料.结果 132例138侧均成功施行经皮肾穿刺并建立通道,单通道取石125例131侧,双通道取石7例7侧.一期取石125例129侧,二期取石7例9侧.平均结石清除率90.6%,平均手术时间86 min,平均出血量70 ml,术中均未输血.术中无肝脾及肠管损伤等并发症发生;术后发热7例(5.3%),平均住院时间10 d.结论 X线监视下MPCNL具有损伤小、出血少、并发症少、恢复快、结石清除率高等优点,是治疗上尿路结石安全有效的方法.
목적 탐토X선감시하미창경피신경취석술(MPCNL)치료상뇨로결석적료효급안전성.방법 회고분석응용X선감시하MPCNL치료상뇨로결석132례환자적림상자료.결과 132례138측균성공시행경피신천자병건립통도,단통도취석125례131측,쌍통도취석7례7측.일기취석125례129측,이기취석7례9측.평균결석청제솔90.6%,평균수술시간86 min,평균출혈량70 ml,술중균미수혈.술중무간비급장관손상등병발증발생;술후발열7례(5.3%),평균주원시간10 d.결론 X선감시하MPCNL구유손상소、출혈소、병발증소、회복쾌、결석청제솔고등우점,시치료상뇨로결석안전유효적방법.
Objective To evaluate the safely and the clinical outcomes of minimally invasive percutaneous nephrolithotomy in the treatment of upper urinary calculus under the guidance of radiography.Methods 138 renal units of 132 cases of upper urinary calculus underwent minimally invasive percutaneous nephrolithotomy under the guidance of radiography were retrospectively analyzed.Results 138 renal units of 132 cases established percutaneous access successfully.The number tracts required per procedure were 1 tracts in 131 renal units of 125 cases,2 tracts in 7 renal units of 7 cases.129 renal units of 125 cases underwent MPCNL at phase 1 lithotripsy.The stage 2 lithotripsy was carried in 9 renal units of 7 cases.The overall rate of fragmentation for upper urinary calculus was 90.6% ; The mean operative time was 86min;mean blood loss was 70ml;No case was given transfusion.No perioperative complications such as pneumatothorax,trauma of liver,spleen or intestine occurred.Cardiothoracic fever or hyperpyrexia was seen in 7 cases(5.3%).The mean length of stay was 10 days.Conclusions Minimally invasive percutaneous nephrolithotomy under the guidance of radiography is an economic and effective method for the treatment of upper urinary calculus.The procedure is superior in safety,less hemorrhage,less complication and the high rate of stone free.