【摘要】 目的:探讨微创经皮肾穿刺取石术(MPCNL)在上尿路结石的应用。方法:对60例接受MPCNL治疗的上尿路结石患者的临床资料进行回顾性分析。结果:60例患者中,58例成功施行一期碎石取石术,2例改开放手术;一期取净结石28例,二期取净结石18例,三期取净结石12例,结石总取净率86.67%。平均手术时间150 min,肾造瘘管留置时间平均5 d,平均住院10 d。其中2例需要输血,其余58例结石术中出血量30~200 mL,平均70 mL;其余未出现严重的并发症。结论:MPCNL治疗上尿路结石具有相对安全,创伤小,恢复快,住院时间短等优点。更多还原

【Abstract】 Objective:To evaluate the applications of minimally invasive Percutaneous nephrolithotomy(MPCNL) in upper urinary tract Stones.Methods:From October 2005 to November 2006,60 patients with upper urinary Stones were submitted MPCNL.It was reviewer and evaluated.Results: Among 60 cases,58 achieved one-stage MPCNL,other 2 cases were charged to open operation,28 cases were free after one-stage MPCNL,18 cases were stone free second stage MPCNL,12 cases were stone free after third stage MPCNL.The total stone free rate was 86.67%.The average operation time was 150 minutes.Average 5 dais’s time was need for nephrostomy tube in body,and average hospitalization was 10 days.Blood transfusion was need in 2 patients.In other 58 cases blood loss volume was about 30～200 mL with average of 70 mL;no major complication was occurrence.Conclusion: MPCNL is safe,minimally invasive,easy recovery,short hospitalization for treaties upper urinary stones.更多还原