经皮肾镜联合输尿管软镜碎石取石术的手术配合

Surgical cooperation of percutaneous nephrolithotomy under flexible ureteroscope in the treatment of staghorn calculi

目的总结经皮肾镜联合输尿管软镜碎石取石术治疗肾鹿角状结石患者的手术配合经验。方法分析30例肾鹿角状结石患者实施经皮肾镜联合输尿管软镜碎石取石的术中配合要点。结果患者均手术顺利,一期清石率平均86.0%,二期总清石率平均为95.0%。术中发生大出血1例,未发生肾穿孔、腹膜穿孔、液气胸及周围脏器损伤。结论充分做好术前准备,熟悉手术步骤,与手术医生默契的配合,可提高手术效率,缩短手术时间,增加手术安全性。

ObjectiveTo summarize the experience of percutaneous nephrolithotomy under flexible ureteroscope in the treatment of staghorn calculi.Method The clinical data of 30 patieits with staghorn calculi undergoing percutaneous nephrolithotomy under flexible ureteroscope were reviewed for summarizing the surgical cooperation experience.Results All operations were successful,with the clearance rates of stage one and stage two calculi 86.0% and 95.0%,respectively.There occurred one case of massive hemorrhage,but no cases of kidney perforation,peritoneal perforation,liquid pneumothorax or organ damage.Conclusion Well-prepared surgical cooperation,full mastery of surgical procedures and skilled cooperation can increase surgical efficiency and safety by shortening surgical duration.