【摘要】 目的:探讨应用微创经皮肾取石术治疗开放手术后肾结石的可行性与临床疗效。方法:回顾性分析2002年2月～2005年3月采用微创经皮肾取石术治疗157例有开放手术史的肾结石患者的资料。结果:所有手术均取得成功,157例患者中采用单通道取石63例,二通道取石86例,三通道手术8例。总的结石清除率86%,平均手术时间103min。17例患者术后48h内发热,3例患者术后需输血,1例并发气胸。结论:微创经皮肾取石术是一种有效的治疗开放手术后肾结石的方法,创伤小,恢复快。更多还原

【Abstract】 Objective:To investigate the feasibility and clinical effect of minimally invasive percutaneous nephrolithotomy(MPCNL) in treating renal calculi after open surgery.Methods:The information of 157 cases of kidney stone after open renal surgery treated with MPCNL between Feb,2002 and March,2005, were analysed retrospectively.Results:All the procedures were successful. In 157 cases, 63 cases performed single-tract MPCNL, 86 cases performed two-tracts MPCNL, 8 cases performed three-tract MPCNL. The total stone-free rate was 86%, the average operation time was 103 minutes.Fever happened postoperatively in 17 cases, 3 cases required blood transfusion, 1 cases complicated pneumothorax.Conclusions:MPCNL is an effective technique in treating the renal calculi after open surgery, the patients have less morbidity and quick recovery.更多还原