结石性脓肾采用微创腔镜技术治疗的临床应用

Clinical Application of Calculous Pyonephrosis With Minimally Invasive Endoscopic Treatment

目的：对微创腔镜技术治疗结石性脓肾的临床价值进行了研究。方法选择我院自2013年5月～2014年5月收治的结石性脓肾患者69例，均采用微创腔镜技术治疗例，其中微创经皮肾镜取石术治疗48例，经尿道输尿管镜取石术治疗17例。采用微创经皮肾镜取石术联合经尿道输尿管镜取石术治疗4例。结果69例患者接受微创腔镜技术治疗后，结石全部取出62例，肾残留结石7例。患肾功能完全恢复及部分恢复47例，患肾丧失功能11例。结论微创腔镜技术治疗结石性脓肾的临床效果显著，提高了手术治疗的安全性和可靠性。

Objective Research the clinical value of minimal y invasive endoscopic technique in the treatment of calculous pyonephrosis. Methods 69 cases with calculous pyonephrosis in our hospital from 2013 May to May 2014 were al treated with minimal y invasive endoscopic techniques,the minimal y invasive percutaneous nephrolithotomy in treatment of 48 cases,transurethralureteroscopy in the treatment of 17 cases. The use of minimal y invasive percutaneous nephrolithotomy combined with transurethral ureteroscopic lithotripsy in treatment of 4 cases. Results 69 patients underwent minimal y invasive endoscopic treatment,out of al 62 cases of renal calculi,7 cases had residual stones. The recovery of renal functionrecovered completely and partial y recovered in 47 cases,11 cases of patients with renaldysfunction. Conclusion The clinical effect of minimal y invasive endoscopic technique in the treatment of calculus pyonephrosis is significant,it can improve the reliability and safety ofoperation treatment.