CAJ | 학술논문

目的:探讨微创经皮肾镜取石术(MPCNL)治疗复杂性肾结石的疗效及安全性.方法:自2005年2月—2010年12月我院在B超定位下采用MPCNL治疗复杂性肾结石145例,采用钬激光碎石.结果:143例顺利行MPCNL手术,2例因穿刺失败而改行其它方法治疗.一次手术结石取尽率68.5%(98/143),二次手术结石取尽率89.5%(128/143),结合ESWL,结石取尽率94.4%.术后继发大出血需行介入栓塞止血4例,严重感染而致肺损伤1例,无误穿和死亡病例.结论:MPCNL治疗复杂性肾结石疗效好,安全性高
목적:탐토미창경피신경취석술(MPCNL)치료복잡성신결석적료효급안전성.방법:자2005년2월—2010년12월아원재B초정위하채용MPCNL치료복잡성신결석145례,채용화격광쇄석.결과:143례순리행MPCNL수술,2례인천자실패이개행기타방법치료.일차수술결석취진솔68.5%(98/143),이차수술결석취진솔89.5%(128/143),결합ESWL,결석취진솔94.4%.술후계발대출혈수행개입전새지혈4례,엄중감염이치폐손상1례,무오천화사망병례.결론:MPCNL치료복잡성신결석료효호,안전성고
Objective:To evaluate the efficacy and safety of minimally invasive percutaneous nephrolithotomy(MPCNL) for complex renal calculi.Methods:From 2005.02 to 2010.12 MPCNL was performed in 145 cases suffering from complex renal calculi under the guide of B-ultrasound.Results:141 cases received MPCNL successfully.2 cases turned to other therapy because of failure of puncture.The stone free rate was 68.5%(98/143)in the first procedure.The stone free rate was 89.5%(128/143)after the second procedure.4 cases received renal arterial embolization because of severe bleeding.1 case got acute lung injury because of severe infection.Conclusion:MPCNL is safe and effective for complex renal calculi