经皮肾镜取石术联合输尿管软镜治疗肾结石的疗效观察

The Efficacy of Percutaneous nephrolithotomy combined with flexible ureteroscope in the treatment of renal calculi

目的探讨经皮肾镜取石术(PCNL)联合输尿管软镜治疗肾结石的疗效及安全性。方法回顾分析2013-08—2015-08间行经皮肾镜取石术联合输尿管软镜治疗肾结石患者62例,X光定位下采用F18单通道取石,计肾结石52例,肾结石合并输尿管结石10例。结果所有手术均获得成功,平均手术时间125 min,平均住院天数10.5 d,一期结石清除率90.3%(56/62)。无气胸、肠道损伤、大出血及败血症等严重并发症。结论经皮肾镜取石术联合输尿管软镜治疗肾结石可减少穿刺通道,提高结石清除率,安全有效,值得临床推广。

Objective To evaluate the efficacy and safety of percutaneous nephrolithotomy combined with flexible ureteroscope in the treatment of renal calculi. Methods From August 2013 to August 2015,the procedure was performed in 62 patients with renal calculi,all patients were treated in F18 puncture channel with X- rays. Renal calculis were diagnosed in 52 cases,ureteral calculis combined with renal calculis were found in 10 cases. Results All the operations were successful,the average operative time was 125 minutes,the average time of hospital stay was 10. 5 day,the stone- free rate was 90. 3%（ 56 /62） in one session. No major complications were noted in all patients. Conclusion Percutaneous nephrolithotomy combined with flexible ureteroscope are safe and effective in the treatment of renal calculi,which could reduce the number of the access tracts and increase stone- free rates.