标准通道经皮肾镜术中联合胆道镜治疗复杂性上尿路结石的疗效观察

Therapeutic Effect of Standard Channels of Percutaneous Nephrolithotomy Combined with Choledochoscope in the Treatment of Complex Upper Urinary Tract Calculi

目的评价标准通道经皮肾镜术中联合应用胆道镜治疗复杂性上尿路结石的疗效。方法对2011年1—10月采用标准通道经皮肾镜术中联合应用纤维胆道镜治疗的30例复杂性上尿路结石患者的临床资料进行分析。结果 30例患者行标准通道经皮肾镜取石术,术中经皮肾镜联合胆道镜镜检、碎石、取石,随访1个月复查尿路平片,无结石残留,结石清除率为100%,术后无并发症。结论标准通道经皮肾镜术中联合胆道镜治疗复杂性上尿路结石是安全、有效的。

Objective To evaluate the therapeutic effect of standard channels of percutaneous nephrolithotomy combined with choledochoscope in the treatment of complex upper urinary tract calculi.Methods Clinical data of 30 patients with complex upper urinary tract calculi treated by standard channels of percutaneous nephrolithotomy combined with fiber choledochoscope lithotomy from January 2011 to October were observed.Results The 30 patients were treated with standard channels of percutaneous nephrolithotomy,and microscopic examination,stone breaking and stone removing were performed among the patients.KUB was re-examined after one month following up and no residual stones were found.The stone clearance rate was 100% without postoperative complication.Conclusion Standard channel of percutaneous nephrolithotomy combined with choledochoscope in the treatment of complex upper urinary tract stone disease is safe and effective.