摘要
目的：探讨微创经皮肾镜钬激光碎石术（MPCNL）治疗上尿路结石的效果。方法：回顾性分析2008年1月-2013年5月应用MPCNL治疗的126例上尿路结石患者的临床资料。结果：124例患者一期或二期手术成功,术后3~5 d拔出肾盂造瘘管,1周左右出院,3例术后出现发热,经抗感染治疗后恢复,无其他严重并发症发生。术后3个月结石清除率为89.5%。1例术中肾严重出血,另1例穿刺失败,改开放手术取石,术后恢复好。结论：微创经皮肾镜钬激光碎石术治疗输尿管上段结石疗效确切,具有痛苦小、恢复快,并发症少等优点。
Objective：To evaluate the curative effects of upper ureteral stones by means of minimally-invasive percutaneous nephrolithotripsy（MPCNL） by holium laser.Method：From January 2008 to May 2013,the clinical data were retrospec-tively analysed in 126 cases of upper ureteral stones.Result：In the 124 cases,the stones were cleared off at the first or second stage,after 3-5 days out of the renal pelvis fistula,1 week of discharge,in addition to fever appeared in 3 cases,after the anti infection treatment recovery,no other serious complications,and the stone clear rate was 89.5% three months postoperatively.1 case of renal severe hemorrhage,another 1 case of puncture failure,open surgery to remove stones,good postoperative recovery.Conclusion：MPCNL by holium laser hasdefinite efficacy in the treatment of upper ureteral calculus with less suffering,shorter recovery time and complication.
出处
《中外医学研究》
2016年第29期41-43,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
上尿路结石
经皮肾镜取石术
钬激光
Ureteral calculus
Percutaneous nephrolithotripsy
Holium laser
