【作者】 杨小明； 唐雨林； 喻希聪； 彭峰；

【Author】 YANG Xiao - ming, TANG Yu - lin, YU Xi - chong, PENG Feng (Department of Urology, Kaide Hospital, Zhuzhou, Hunan 412000, P. R. China)

【机构】 湖南株洲恺德微创医院泌尿外科；

【摘要】 目的探讨微创经皮肾镜取石术(miniPCNL)治疗上尿路结石的疗效及作用。方法从2000年5月-2004年12月应用miniPCNL技术治疗上尿路结石426例。结果426例中有351例I期取石,69例行Ⅱ期取石,6例行Ⅲ期取石,其中单通道取石363例,双通道取石58例,三通道取石5例,平均结石清除率90.18%,平均手术时间86 min,肾造瘘管平均留置6天,平均住院12 d,术中均未输血,其中2例术后并发迟发性大出血,经高选择性肾动脉栓塞治愈,3例术后出现尿外渗,经调整肾造瘘管位置及置入外支架管后治愈,其它随访未出现明显并发症。结论mini PCNL治疗上尿路结石安全、高效,具有对患者创伤小、恢复快,结石清除率高等优点,是治疗上尿路结石的一种好方法。更多还原

【Abstract】 [Objective] To evaluate miniaturised instrument for percutaneous nephrolithotomyin upper urinary. [Methods] 426 patients underwent miniaturised instrument for percutaneous nephrolithotomy for calculus in upper urinary tract from May 2000 to December 2004 were reviewed and evaluated. [Results] 351 patients were rendered stone - free at 1 session; 69 patients were rendered stone - free at 2 session; 6 patients were rendered stone - free at 3 session. 363 cases were operated through single - road; 58 cases were operated through double -road and 5cases were operated though tri - road. The stone free rate were 90.18% ; the mean time of operation was 86 min; the mean time of the nephrostomy tube was 6 days; the average hospitalization was 12 days. No one needed intraoperative blood transfusion. 2 cases had postioperative delayed severe bleeding and were cured by the mean of super - select renal arteriographic embolization; 3 cases were complicated with postoperation urinary fistula and were cured by adjusted the location of the nephostomy tube. The rest patients had no obvious complications. [Conclusions] The miniaturised instrument for percutaneous nephrolithotomy of the treatment of calculus in upper urinary tract was claimed to be safe and less trauma and a high success rate, miniaturized instrument for percutaneous is a ideal method in the treatment of calculus .in upper urinary.更多还原