摘要
目的探讨微创经皮肾镜取石术(MPCNL)治疗上尿路结石的安全性及有效性。方法对接受微创经皮肾取石术治疗的105例上尿路结石病例进行回顾性分析。结果共行119次手术,其中单通道取石94侧肾,双通道22侧肾,三通道3侧肾;一期穿刺取石91例,二期14例,结石清除率90.44%。留置造瘘管者平均7 d拔管,平均住院时间15 d。未置造瘘管者23例,该无管化患者平均住院时间8 d。围术期无大出血、肠管损伤及中转开放手术发生。结论微创经皮肾镜取石术治疗上尿路结石安全、有效。无管化能减轻痛苦、加快恢复、缩短住院时间。
Objective To assess the safety, feasibility and superiority of minimally invasive percuta- neous nephrolithotomy （MPCNL） in treating upper urinary calculi. Methods We retrospectively investigated 105 patients suffering from renal calculi and upper ureteral calculi, who were treated with MPCNL from January 2008 to June 2009. Results Of 105 cases, 90.44%stone free-rate was achieved using one-stage MPCNL. They were treated by 119 MPCNL, Single tract was in 94 renal units, two tracts in 22 renal units, three tracts in 3 renal units, respectively. Stage-one MPCNL was performed in 91 cases, stage-two was performed in 14 patients. Average nephrostomy tube stay was 7 days, average hospitalization stay was 15 days. Average hospitalization stay of nephrostomy-free tube or tubeless MPCNL was 8 days for 23 cases. No perioperative complications such as bleeding, intestinal injuries and conversions to open surgery occurred.Conclusions MPCNL is a safe and effective option for upper urinary calculi. Tubeless MPCNL reduces postoperative pain related to the drainage tube and have easy recovery. It also minimizes hospital stay.
出处
《中华腔镜泌尿外科杂志（电子版）》
2009年第6期49-51,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
经皮肾取石术
尿路结石
微创手术
无管化
Percutaneous nephrolithotomy
Urinaral calculi
Minimally invasive operation
Tubeless
