小儿双侧上尿路结石致肾功不全的两种治疗方法的比较（附11例报告）

The Comparison Between The Two Kind Of Treatment Methods For Impaired Renal Function Which Caused By Double Side Upper Urinary Tract Calculus In Children

摘耍：目的比较急诊做肾切开取石术、微创经皮肾镜取石术（MPCNL术）治疗小儿上尿路结石致肾功不全的的疗效。方法肾切开取石7倒，微创经皮肾镜取石术（MPCNL术）4例。结果肾切开取石及微创经皮肾镜取石术（MPCNL术）的11例患者均获得成功，均痊愈出院；均无大的并发症出现。结论急诊做微创经皮肾镜取石术（MPCNL术）及开放手术均可获得满意的效果，但开放手术创伤大，恢复较慢；微创经皮肾镜取石术（MPCNL术）具有创伤小、恢复快的特点、但患者需要俯卧位、术中观察患者比较棘手的问题。关键词：小儿双侧上尿路结石；肾功不全；

Objective To compare the clinical outcomes between emergency nephrolithotomy and minimally invasive percutaneous nephrolithotomy （MPCNL） for treating impaired renal function which caused by double side upper urinary tract calculus in children. Methods 7 cases were treated by nephrolithotomy and 4 cases by minimally invasive percutaneous nephrolithotomy （MPCNL）. Results All of the 11 cases who received emergency nephrolithotomy or minimally invasive percutaneous nephrolithotomy（MPCNL）has achieved satisfactory results. There were not severe complications in all cases. Conclusion We can get satisfactory results with both of the two kind of treatment methods; but the wound is heavy and it recovers more slowly in the patients of underwent open surgery; the treatment with MPCNL is a effective treatment technique with little trauma ,quick recovery, but observing patient during operation is a very knotty problem for the patient taking prone position.