微创经皮肾鈥激光碎石术治疗上尿路结石的临床疗效

目的探讨微创经皮肾鈥激光碎石术治疗上尿路结石的重要性及临床疗效。方法 2006年3月至2010年5月应用微创经皮肾鈥激光碎石术治疗上尿路结石患者127例143侧。所有患者均行F18穿刺通道输尿管镜鈥激光碎石术。结果 127例经皮肾输尿管镜鈥激光碎石术后,结石残留24例(二期碎石2例,结合体外震波碎石9例,药物排石13例);1例感染;2例漏尿;3例出血,所有并发症经积极相应治疗后均治愈。结论微创经皮肾鈥激光碎石术治疗上尿路结石疗效确切,安全,值得临床推广。

Objective Of minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy for upper urinary tract calculi and clinical effects of the importance.Methods March 2006～May 2010 minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy for upper urinary tract stones were 127 cases（143 kidneys）.All patients underwent ureteroscopic holmium laser F18 puncture channel lithotripsy.Results 127 cases of percutaneous nephrolithotomy holmium laser lithotripsy,24 patients with residual stones（2 stone in 2 cases,9 cases combined with extracorporeal shock wave lithotripsy,13 cases of drug Paishi）;One case of infection;Two cases of leakage of urine;Three cases of bleeding,After all the complications were cured after treatment,the positive corresponding.Conclusion Minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy for upper urinary tract stones curative effect.Safety,is worthy of clinical.