MPCNL治疗上尿路结石(附102例报告)

Treatment of upper urinary calculi with minimally invasive percutaneous nephrolithotomy (report of 102 cases)

目的总结微创经皮肾穿刺取石术治疗上尿路结石的经验，评估其安全性。方法分析2004年9月～2005年12月微创经皮肾穿刺取石术（MPCNL）治疗102上尿路结石。结果102例，结石清除率为88．23％（90／102）。平均手术时间98min，平均住院时间8．7d。术中出血量为100～200mL，平均165mL；并发症发生率为3,92％。结论微创经皮肾穿刺取石术治疗上尿路结石安全可行，可作为治疗上尿路结石的首选方法。

[Objective] To sum up our experience of treating upper urinary calculi with ininimally invasive percutaneous nephrolithotomy （MPCNL）, describe our technique and evaluate the safety and feasibility of this technique. [Methods] 102 cases with upper urinary calculi treated by minimally invasive pereutaneous nephmlithotomy （MPCNL） from September 2004 to December 2006 were retrospectively reviewed. [Results] The clearance was 88.23% （90/102）, with a mean hospitalized stay time of 8.7 days. The operation duration was 98 minutes, the blood losing was about 100~200 mL each patient. The complication rate was 3.92%. [Conclusion] MPCNL is a safe and feasible method in treating upper urinary calculi, and should be the first line treatment for massive upper urinary calculi.