微创经皮肾穿刺碎石取石术治疗上尿路结石

Treatment of Upper Urinary Tract Stones with Minimally Percutaneous Nephrolithotomy

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150min，肾造瘘管留置时间平均5d，平均住院10d。其中2例需要输血，其余58例结石术中出血量30～200mL，平均70mL；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。

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.