微创经皮肾穿刺输尿管镜钬激光碎石术治疗肾结石

Treatment of renal calculi on minimally invasive percutaneous nephrolithotomy with ureteroscopic holmimium:YAG laser lithotripsy

目的探讨微创经皮肾穿刺输尿管镜钬激光碎石术治疗肾结石的安全性及有效性。方法采用经皮肾穿刺下对10例肾结石患者行输尿管镜钬激光治疗。结果碎石成功率达90%,结石总排净率为80%,1例术后出现大出血并发症。结论该方法结石排净率高,创伤轻微,手术并发症少,是治疗肾结石的较为理想的方法之一。

Objective To assess the safety, feasibility and superiority of minimally invasive percutaneous nephrolithotomy （mPCNL） with ureteroscopic holmimium：YAG laser lithotripsy in treating renal calculi. Methods 10 cases of renal calculi were treated by mPCNL with ureteroscopic holmimium：YAG laser lithotripsy. Results The successful rate of lithotripsy was 90% and the total stone-free rate was 80%. Only one case suffered from massive hemorrhage. Conclusion The treatment has high stone-free effect with minimal invasion and less complications and is an ideal treatment for renal calculi.