经皮肾穿刺微造瘘输尿管镜治疗上尿路结石(附156例报告)

Treatment of upper urinary calculi with minimally invasive percutaneous nephrolithotomy(Report of 156 cases)

目的探讨经皮肾穿刺微造瘘输尿管镜治疗上尿路结石的方法及疗效。方法采用经皮肾穿刺微造瘘输尿管镜下气压弹道碎石处理上尿路结石156例。结果156例均一期手术取石,单通道取石126例,双通道取石25例,三通道取石5例。其中1次取石120例,2次取石28例,3次取石8例。136例结石全部取尽。平均手术时间90min,平均出血量50ml,术后平均住院时间8d。所有病例均无严重手术并发症。结论经皮肾穿刺微造瘘取石术治疗上尿路结石具有创伤小、并发症少、疗效好、恢复快、结石清除率高等优点,值得推广应用。

[Abstract] Objective To investigate the percutaneous nephrolithotomy （MPCNL） in treating with upper urinary calculi were managed by MPCNL method and efficiency minimally upper urinary calculi. Methods 156 under ureteroscopy and EMS lithoclast. invasive patients Results All cases underwent one stage PCNL. 126 cases were treated with single access PCNL,25 with two accesses PCNL, 5 with three accesses PCNL. Among them, 120 patients were treated by one time operation, 28 patients were two times PCNL and 8 were three times. The stones in 136 cases were completely removed. The average operation time was 90 minutes, estimated blood loss volume was 50 mL, and the average hospitalization was 8 days. No severe complications were found. Conclusion MPCNL has the advantages of less trauma, fewer complicationss and quicker recovery in the treatment of upper urinary calculi.