CAJ | 학술논문

目的探讨微创经皮肾镜取石术治疗肾脏鹿角状结石的有效性和安全性.方法选取2008年12月-2012年6月开展微创经皮肾镜取石治疗上尿路鹿角状结石120例,统计分析结石清除率、手术时间和手术并发症情况.结果一期碎取石109例,二期碎取石18例;清除部分鹿角状结石平均用时95 min,清除完全鹿角状结石132 min,平均清除时间为116 min,110例结石取净,较少出现并发症.结论微创经皮肾镜取石微创、痛苦小、手术时间短,术后并发症少,且操作安全、结石排净率高,是治疗肾脏鹿角状结石的有效方法.
목적탐토미창경피신경취석술치료신장록각상결석적유효성화안전성.방법선취2008년12월-2012년6월개전미창경피신경취석치료상뇨로록각상결석120례,통계분석결석청제솔、수술시간화수술병발증정황.결과일기쇄취석109례,이기쇄취석18례;청제부분록각상결석평균용시95 min,청제완전록각상결석132 min,평균청제시간위116 min,110례결석취정,교소출현병발증.결론미창경피신경취석미창、통고소、수술시간단,술후병발증소,차조작안전、결석배정솔고,시치료신장록각상결석적유효방법.
Objective To evaluate the efficacy and safty of minimally invasive percutaneous nephrolithotomy (MPCNL) in the treatment of staghorn stone. Methods From December 2008 to June 2012, 120 cases of staghorn stone were performed MPCNL, and the clinical data of operation time, stone clearance rate and operative complications were retrospectively analysed. Results One-stage operation was performed in 109 cases, two-stage in 18;the partial staghorn clearance cost 95 min in average, the full staghorn clearance cost 132 min in average, the mean operation time was 116 min. Complete stone clearance was achieved in 110 renalunits. Conclusion MPCNL has definite efficacy in the treatment of staghorn stone with less invasion, bleeding and complications, as well as higher clearance rate.