微创经皮肾穿刺输尿管镜碎石清石术治疗输尿管上段石街

MICROTRAUMATIC PERCUTANEOUS RENOPUNCTURE IN TREATING UPPER URETERIC STONE STREET

目的 探讨微创经皮肾穿刺输尿管碎石清石术治疗ESWL后输尿管上段石街的疗效及安全性.方法 对采用微创经皮肾镜碎石清石术治疗ESWL术后输尿管上段石街46例患者的临床资料进行回顾性分析,主要统计手术时间、结石清石率、肾造瘘管留置时间、住院时间、术中出血量和并发症等情况.结果 本组平均手术时间62 min,一期结石清除率 100%（46/46）,肾造瘘管平均留置时间4 d,平均住院时间6 d,术中出血量20～100 ml,平均30 ml,未出现严重并发症.结论 微创经皮肾穿刺输尿管镜碎石清石术治疗ESWL术后输尿管上段石街安全有效.

Objective To explore the curative effect of microtraumatic percutaneous renopuncture on upper ureteric stone street after ESWL. Methods Retrospective analyses of 46 cases treated with microtraumatic percutaneous renopuncture were made to survey the operation duration, the clearance rate, the remaining time of fistulation canal, the hospitalization period, the operative bleeding and the occurrences of complications. Results The average operative time was 62 minutes, the clearance rate was 100 % at the first stage of treatment, the remaining time of the fistulation canal was four days, the average hospitalization time was 6 days and the amount of bleeding ranged from 20ml to 100 ml with the mean volume being 30ml. No severe complications occurred. Conclusion Microtraumatic percutaneous renopuncture can produce good curative effects after ESWL in treating upper ureteric stone street.