摘要
目的总结微创经皮肾造瘘取石术(mini-invasive percutaneous nephrolithotomy,mPCNL)治疗上尿路结石的疗效。方法353例上尿路结石患者,均行微创经皮肾造瘘取石术。按结石位置、大小、形状和积水情况将mPCNL手术分为难度各异的6种类型。结果mPCNL成功346例,其中Ⅰ期279例(80.6%),Ⅱ期67例(19.4%);5例中转开放手术,2例放弃出院。单通道取石294例(85.0%),双通道41例(11.8%),三通道11例(3.2%)。309例(89.3%)取净结石,残石(大于0.5 cm)37例。术后动静脉瘘2例,经介入栓塞治愈。平均住院7.2 d。结论mPCNL是治疗上尿路结石的理想方法。
Objective To study the therapeutic effect of upper urinary calculi treated by mini-invasive percutaneous nephrolithotomy(mPCNL). Methods 353 patients with upper urinary tract calculi were treated by mPCNL.All the patients were classified into 6 types based on the location,size,shape of calculi and the degree of hydronephrosis.Meanwhile,the operations were also graded into 6 levels by the degree of difficulty. Results 346 cases were completed mPCNL successfully,including 279 cases(80.6%) of one-stage operati...
出处
《中国现代手术学杂志》
2009年第4期300-302,共3页
Chinese Journal of Modern Operative Surgery
基金
福建省泉州市科技局重点科研资助项目(编号:2007Z1)
关键词
肾造口术
经皮
尿路结石
nephrostomy
percutaneous
urinary calcali
