CAJ | 학술논문

目的：总结经皮肾镜联合输尿管软镜碎石取石术治疗肾鹿角状结石患者的手术配合经验。方法分析30例肾鹿角状结石患者实施经皮肾镜联合输尿管软镜碎石取石的术中配合要点。结果患者均手术顺利，一期清石率平均86.0%，二期总清石率平均为95.0%。术中发生大出血1例，未发生肾穿孔、腹膜穿孔、液气胸及周围脏器损伤。结论充分做好术前准备，熟悉手术步骤，与手术医生默契的配合，可提高手术效率，缩短手术时间，增加手术安全性。
목적：총결경피신경연합수뇨관연경쇄석취석술치료신록각상결석환자적수술배합경험。방법분석30례신록각상결석환자실시경피신경연합수뇨관연경쇄석취석적술중배합요점。결과환자균수술순리，일기청석솔평균86.0%，이기총청석솔평균위95.0%。술중발생대출혈1례，미발생신천공、복막천공、액기흉급주위장기손상。결론충분주호술전준비，숙실수술보취，여수술의생묵계적배합，가제고수술효솔，축단수술시간，증가수술안전성。
ObjectiveTo summarize the experience of percutaneous nephrolithotomy under flexible ureteroscope in the treatment of staghorn calculi.Method The clinical data of 30 patieits with staghorn calculi undergoing percutaneous nephrolithotomy under flexible ureteroscope were reviewed for summarizing the surgical cooperation experience.Results All operations were successful,with the clearance rates of stage one and stage two calculi 86.0% and 95.0%,respectively.There occurred one case of massive hemorrhage,but no cases of kidney perforation,peritoneal perforation,liquid pneumothorax or organ damage.Conclusion Well-prepared surgical cooperation,full mastery of surgical procedures and skilled cooperation can increase surgical efficiency and safety by shortening surgical duration.