摘要
目的探讨经皮肾镜技术治疗肾盏憩室结石的临床疗效。方法回顾性分析2005年7月～2008年3月B超引导下采用经皮标准肾镜和微造瘘输尿管镜2种方式治疗肾盏憩室结石患者共13例,处理狭窄肾盏憩室盏颈9例。结果本组患者10例1次穿刺成功,3例2次穿刺成功,手术时间35～120min,平均57min。平均住院天数11d,术中平均出血量为200mL,无严重并发症。穿刺通道3例经第10肋间,10例经第11肋间,术后随访2～29个月。无结石复发,憩室消失6例。结论经皮肾技术治疗肾盏憩室结石是微创、有效、安全的治疗手段。穿刺路径的选择、憩室盏颈的处理是治疗肾盏憩室结石成功的关键。
【Objective】To investigate the clinical effect of PCNL in treating calyceal diverticular calculi.【Methods】From July,2005 to March,2008,13 patients with a symptomatic calyxeal diverticular calculi underwent MPCNL and PCNL.At the same time,the dicerticulum was managed by dilation the dicerticular neck.【Results】10 cases were applied with percutaneous biopsy successfully for one time,while 3 cases for two times.Mean operative time was 57 minutes,mean hospital stay was 11 days,and blood loss volume was 200 mL without severe complications.The interspace between 11th and 12th rib was used in all cases except three patients in whom the puncture was made above the 11th rib.No recurrence and diverticulum disappeared in 6 cases in the 2 to 29 month＇follow-up.【Conclusion】PCNL in an effective and feasible treatment option for symptomatic caliceal divertivular calculi.The percutaneous approach and infundibular neck are very important to the operation success rate.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第3期294-296,共3页
China Journal of Endoscopy
关键词
经皮肾
盏憩室结石
percutaneous nephrolithotomy
calyceal diverticular calculi
