超微经皮肾镜在上尿路结石治疗中的临床应用(附13例报告)

Clinical application of super mini-percutaneous nephrolithotomy in treating upper urinary calculi

目的:探讨超微经皮肾镜取石术(SMP)治疗上尿路结石的临床效果。方法:2015年8月~2016年3月采用SMP对13例上尿路结石患者进行手术治疗,其中鹿角形结石1例,肾下盏结石3例,肾盂结石5例,输尿管上段结石3例,多发性肾结石1例;结石直径1.1~2.4cm,平均(1.7±0.2)cm。结果:11例行单通道SMP,2例行双通道SMP,其中应用于复杂性肾结石二期手术3例;手术时间9~150min,平均(34±22)min;术中出血量平均(14±5)ml,无需要输血的患者;术后未出现发热病例。平均住院时间2d。结论:SMP治疗上尿路结石安全,创伤小,术后恢复快,住院时间短。

Objective：To evaluate the efficiency of super mini-percutaneous nephrolithotomy（SMP）in treating upper urinary calculi.Method：SMP was performed on 13 patients from August 2015 to March 2016.Among these 13 patients,staghorn stone was found in one,lower calyx stones in three,pelvis stone in five,upper ureteral stone in three,and multiple renal stones in one.The diameter of the stone was from 1.1cm to 2.4cm.The mean stone size is（1.7±0.2）cm.Result：Single tract was performed on 11 cases,and double tract was performed on two patients.Simultaneously,second stage procedure of complex stone was completed in three cases.The operative time was from 9to 150（mean,34±22）min,and the mean blood loss was（14±5）ml.No one needed blood transfusion.No fever case was found.Mean hospitalization time was two days.Conclusion：SMP has benefits of safety,less invasion,short hospitalization time and rapid recovery.