经皮肾微造瘘输尿管肾镜取石术治疗输尿管上段结石

Treatment of Upper Ureteric Calculi with Minimally Invasive Perctaneous Nephrolithotony

目的:探讨经皮肾微造瘘输尿管肾镜取石术(min-PCNL)在输尿管上段结石的应用价值。方法:回顾分析min-PCNL治疗104例输尿管结石的临床资料。结果:I期穿刺取石成功率99.03%(103/104),5例II期取石,平均手术时间105min,平均住院时间7d,3例加用ESWL,2例并发输尿管穿孔,1例并发出血,3例术后72h内出现高热。结论:min?PCNL在复杂性输尿管上段结石治疗中应为首选。

Objective： To investigate the value of minimally invasive perctaneous nephrolithotony （ min - PCNL） in upper ureteric calculi. Method： Retrospective study of 104 eases of upper ureterie calculi treated with min - PCNL. Result：The success rate of one - stage min - PCNL was 99.03% ,5 patients used two - stages rain - PCNL. Average operation time was 105 mintutes, average hospitalization stay was 7 days. 3 patients with residual required ESWL , 2 patients complicated with ureter perforation , 1 patients complicated with severe hemorrhage, high fever happened in 3 patient postoperative 72 hours. Conclusion： Minimally invasive perctaneous nephrolithotony is the best way in treating complicated upper ureteric calculi.