微创肾镜碎石取石术对开放手术后残留结石及复发结石的治疗效果

Treatment Effect of Minimally Invasive Percutaneous Nephrolithotomy on the Residual Stones and Recurrent Stones after the Open Surgery

目的探讨微创经皮肾镜碎石取石手术(MPCNL)治疗开放性手术后残留结石和复发及时的效果。方法该院于2014年2月—2016年5月采用MPCNL治疗30例实行开放手术取石术后残留及复发结石患者,观察30例患者结石的取净率、出血量、手术时间、术后肾造瘘管拔除时间等。结果 30例患者内接受单通道碎石取石的患者26例,双通道碎石取石4例,结石取净率是86.7%,手术平均时间是140.0 min,术中平均出血量是171.0 mL,平均造瘘管拔除时间是5.2 d,术后住院时间是6.5 d。术中、术后患者无大出血或感染性休克等并发症出现。结论 MPCNL是有效治疗肾结石行开放手术取石术后残留及复发结石的首选方法。

Objective To study the treatment effect of minimally invasive percutaneous nephrolithotomy on the residual stones and recurrent stones after the open surgery. Methods 30 cases of residual and recurrent stones after MPCNL in this hospital from February 2014 to May 2016 were selected and the stones clearance rate, bleeding amount, operation time and removal time of nephrostomy tube after operation were observed. Results Of 30 cases, there were 26 cases receiving the single channel lithotripsy and 4 cases with double channels lithotripsy, and the stones clearance rate was 86.7%, and the average operation time was 140.0 min, and the average intraoperative bleeding amount was 171.0 mL, and the average removal time of fistula tube was 5.2 d and the postoperative length of stay was 6.5 d, and there were no complications such as hemorrhea or infectious shock. Conclusion MPCNL is a preferred method in treatment of residual stones and recurrence stones after the open surgery lithotomy.