经皮肾镜超声碎石术治疗鹿角形结石的105例临床分析

Clinical Analysis of 105 Cases of Percutaneous Nephrolithotomy in Treatment of Staghorn Calculi

目的分析经皮肾镜超声碎石术治疗鹿角形结石的效果.方法：2009年1月～2014年6月期间,苏州大学附属第三医院共收治鹿角形结石患者105例,对其采取经皮肾镜超声碎石进行治疗,观察治疗效果.结果：一期手术结石取尽率为78.2%,二期手术结石取尽率为92.3%,所有患者均留置双J管和肾造瘘引流.平均住院天数为9.8d,平均手术时间为65min;平均术中失血量150mL.术后半年随访显示,无感染、出血、肾功能丧失、结石复发、肾周积液出现.结论：经皮肾镜超声碎石术能有效治疗鹿角状结石,有较高的碎石和清石率,手术时间较短,出血量少,是治疗肾脏鹿角状结石的首选方案.

Objective:To study the percutaneous nephroscope ultrasonic lithotripsy treatment of staghorn calculi.Methods:In Jan 2009 ~ Jun 2014 period,our hospital treated a total of 105 cases of antler shaped stone patients,application percutaneous nephroscope ultrasonic lithotripsy in treatment and observe the stone scavenging effect,operation time and complications.Results:The rate of the first stage operation was 78.2%,and the rate of stone was two,the rate was 92.3%,and all patients underwent double J tube and renal fistula drainage.The average hospitalization days was 9.8d,The average operative time was 65 min;and mean intraoperative blood loss was 150 mL.Six months follow-up showed that no infection,bleeding,renal function,stone recurrence.kidney week effusion occurred.Conclusion:Percutaneous nephroscope ultrasonic lithotripsy can be effective in the treatment of staghorn calculi,high gravel and stone clearance rate,shorter operation time,less bleeding is the best treatment for renal staghorn calculi.