微创经皮肾镜取石术治疗复杂性肾结石

Yongkang Zhang, Qi Long, Q. Lu
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引用次数: 2

摘要

目的探讨微创经皮肾镜取石术(MPCNL)治疗复杂性肾结石的安全性、可行性和优越性。方法对106例复杂性肾结石患者行121枚MPCNL治疗。结果106例患者行单道MPCNL 89例,两道29例,三道3例。一期MPCNL 90例,二期MPCNL 11例,其余5例肾结石残留,术后行体外冲击波碎石(ESWL)治疗。92. 结石去除率达到6%。平均手术时间91 min,出血量100 ~ 900 ml, 5例出血量200~400 ml。所有患者均无严重并发症。结论MPCNL是一种微创、安全、有效的治疗合并肾结石的手术方法。关键词:经皮肾镜取石术;肾脏结石;微创手术
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Minimally invasive percutaneous nephrolithotomy for the treatment of complicated renal calculi
Objective To explore the safety, feasibility and superiority of minimally invasive percutaneous nephrolithotomy(MPCNL) in treating complicated renal calculi. Methods 106 patients suffering from complicated renal calculi were treated with 121 MPCNL. Results 89 cases underwent MPCNL with single tract ,29 cases with two tracts and 3 cases with three tracts in 106 patients. Renal calculi were cleared completely in 90 patients with one-staged MPCNL, 11 patients with two-staged MPCNL but 5 patients had residual renal calculi and treated with extracorporal shock wave lithotripsy(ESWL) afterwards. 92. 6% calculi free-rate was achieved. Average operation time was 91 minutes,bleeding ranged from 100 to 900 ml and 5 patients accepted 200~400 ml blood. There were no severe complications in all patients. Conclusion MPCNL is a minmally invasive, safe and effective operation for comlicated renal calculi. Key words: Percutaneous nephrolithotomy; Renal calculi; Minimally invasive operation
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