微创经皮肾输尿管镜治疗肾结石

Teatment of renal calculi with minimally invasive percutaneous nephrolithotomy

目的探索微通道经皮肾输尿管镜碎石术治疗肾结石的疗效及手术安全性。方法采用微创经皮肾输尿管镜碎石术治疗51例肾结石患者,统计手术时间、结石清除率和并发症的情况。结果36例行一期穿刺取石,11例行二期取石,47例患者均为单通道取石;4例术中改开放手术;平均手术时间为82min,肾造瘘管留置时间平均为6d,平均住院时间12d。结论MPCNL是一种有效的治疗肾结石的方法,具有损伤小、穿刺通道小、痛苦轻、恢复快等优点。

Objective To evaluate the safety and feasibility of minimally invasive percutaneous nephrolithotomy（MPCNL） in treating renal caculi. Methods MPCNL was performed in 51 patients with renal calculi. The time of the operation, stone-clear rate, and complications were evaluated. Results 36 sides stone cases were finished in first stage, 11 cases were finished in second stage, they were single channel of 47 cases.4 cases had performed with open operation for blooding. The average time of operation was 82 minutes, average nephrostomy tube stay was 6 days, average hospitalization stay was 12 days. Conclusion minimally invasive percutaneous nephrolithotomy appears to be minimally invasive, quick recovery,less complication efficacious, safe for renal calculi.