【摘要】 目的探讨微创经皮肾穿刺取石术(m in im ally invasive percutaneous nephrolithotomy,MPCNL)的疗效。方法52例肾或输尿管结石患者,在C形臂机和(或)B超定位下行MPCNL。结果除1例术中因肾盂穿孔转开放性手术外,Ⅰ期取净结石33例,l周后经造瘘管再行MPCNL取净结石15例,两次手术结石总取净率为92.3%,手术时间1.5~4 h,平均2.5 h。术中无输血。结论MPCNL安全、疗效好,易在基层医院推广。更多还原

【Abstract】 Objective To investigate the effect of minimally invasive percutaneous nephrolithotomy(MPCNL) in the management of renal or ureteral calculi.Methods MPCNL was performed in 52 patients with renal or ureteral calculi under the localization of C-arm fluoroscopy and/or B-ultrasonography.Results Among the 52 patients,a conversion to open surgery was needed in 1 patient because of perforation of the renal pelvis.The stones were completely extracted on one session in 33 patients,and by a re-operation of MPCNL through the fistulization tube 1 week later in 15 patients.The total stone-free rate was 92.3%.The operation time was 1.5~4 h(mean, 2.5 h).No blood transfusion was needed.Conclusions Minimally invasive percutaneous nephrolithotomy is a safe and effective procedure,especially suitable for basic hospitals.更多还原