【摘要】 目的 :总结肾鹿角形结石的治疗经验。方法 :应用体外冲击波碎石 (ESWL) ,开放手术 ,经皮肾镜取石术 (PCNL) ,治疗鹿角形结石 10 2例 ,并随访其疗效及并发症的发生率。结果 :EWSL5 7例 ,3个月后结石排净率86 % ;开放手术 36例 ,手术均获成功 ,无石率达 92 % ;PCNL 9例 ,3个月后结石排净率为 89%。结论 :PCNL加ESWL为首选方法 ,ESWL适用于无肾盂肾盏扩张的部分鹿角形结石 ,开放手术可作为适当的补充术式。更多还原

【Abstract】 Objective:To review our experience on management of 102 staghorn calculi cases.Methods:From January of 2000 to October of 2003, we performed extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL) followed by ESWL and open surgery combined with ESWL for 57,9 and 36 staghorn calculi patients, respectively. The therapeutic effect and complication were analysed. Results:Stone free rate was 86% in ESWL group after 3 monthes follow up, 89% for PCNL group and 92% for operation+ESWL group.Conclusions:PCNL should be the first-line therapeutic means for patients with staghorn calculi, monotherapy ESWL can be used for part staghorn calculi cases with normal renal anatomy, and open surgery is a appropriate way when the staghorn calculi can not be managed by PCNL or ESWL.更多还原