微创经皮肾镜取石术治疗上尿路结石80例临床观察

Minimally invasive percutaneous nephrolithotomy stone for treatment of upper urinary tract calculi 80 cases.

目的观察微创经皮肾取石术治疗上尿路结石的临床效果。方法对我院80例尿路结石患者采用B超定位引导经皮肾穿刺建立F16通道,使用用德国WOLF8/9.8 F输尿管肾镜结合气压弹道碎石机碎石。结果 80例患者行Ⅰ期穿刺取石69例,行Ⅱ期取石8例,行Ⅲ期取石3例。结石清除率93.75%(75/80)。手术时间0.6～3.6 h,术中无需要输血病例,未见严重并发症。结论微创经皮肾取石术治疗上尿路结石疗效好、创伤小、结石清除率高、并发症少,对残留结石和复发结石的再次手术治疗有较大优越性,配合体外冲击波碎石可进一步提高肾结石的清除率,有较高的临床应用价值。

Objective To observe the minimally invasive percutaneous nephrolithotomy for treatment of upper urinary tract calculi effect. Methods From 80 patients with urinary tract stones using B - image - guided percutaneous renal biopsy to establish F16 channel, use with the German WOLF8/9.8 F ureteroscope combined with pneumatic lithotripsy machine crashed stone. Results 80 patients were treated Ⅰ 69 cases of biopsy stones, rows of stones in 8 cases Ⅱ, Ⅲ rows of stones in 3 cases. Stone clearance rate of 93.75 % （75/80）. Operation time 0. 6 - 3.6 h, intraoperative blood transfusion cases no need, no serious complications. Conclusion Minimally invasive percutaneous nephrolithotomy for treatment of upper urinary tract calculi is effective, trauma, stone clearance rate, fewer complications, and recurrence of residual stone stone surgery again a greater advantage, with further increase renal ESWL Stone clearance rate, there is a high clinical value.