【摘要】 目的:探讨微造瘘经皮肾输尿管镜取石术(MPCNL)治疗复杂性输尿管上段结石安全性和疗效。方法:对205例复杂性输尿管上段结石患者采用MPCNL进行治疗,其中男108例,女97例,平均年龄(39.8±8.9)岁,左侧114例,右侧91例。合并轻度积水61例,中度积水94例,重度积水50例。结果:205例Ⅰ期结石清除率100%,平均手术时间(76±23)min,肾造痿管留置时间平均(5.1±1.8)天,平均住院时间(9.2±1.9)天;1例出现肾周脓肿,经CT定位下行穿刺引流治愈,随访200例1～6个月,KUB、IVU均未查见残石和输尿管狭窄,患者肾功能有不同程度恢复。结论:MPCNL治疗复杂性输尿管上段结石完全有效。更多还原

【Abstract】 Objective:To assess the safety and efficacy of minimally invasive percutaneous nephrolithotomy (mini-PCNL) in complicated upper ureteral stone.Methods:Data of 205 patients with complicated upper ureter stone by mini-PCNL from March 2006 through December 2009 were reviewed and evaluated.Results:All of the procedures were successful no residual stone after the first procedure were observed.The rete of clear of stone was 100%.The mean of operative time is(76±23) min the hospital stay was(9.2±1.9) days.Average nephrostomy tube indwelling time was(5.1±1.8) days.One case of postoperative Appear renal abscess tcure After by the drainage of CT positioning.Conclusions:mini-PCNL is a mini-invasive operation.IT is safety and efficiency in treatment of complicated upper ureteral stone.更多还原