摘要
目的探讨大通道经皮肾造瘘治疗复杂性肾结石的方法及其优点。方法选择102例肾铸形结石或巨大肾结石患者,随机分成2组,每组51例,分别采用经皮大通道肾造瘘取石术和经皮肾微造瘘取石术(MPCNL)。结果经皮大通道肾造瘘取石术平均手术时间72min,术中出血约110mL,结石取净率90%,二期结石取净率为98%,术中及术后未出现大出血或行超选择性肾栓塞治疗。经皮肾微造瘘取石术平均手术时间为150min,术中出血约105mL,结石取净率80%,二期结石取净率为90%,术中及术后未出现大出血或行超选择性肾栓塞治疗。结论大通道经皮肾镜治疗复杂性肾结石能节省手术时间,提高结石取净率,未增加损伤及出血风险。
【 Objective】To investigate the passage of percutaneous renal fistula method of treatment of complex renal calculi and its advantages.【Methods】102 cases of kidney-shaped stone,or cast a huge kidney stone patients were randomly divided into two groups,each of 51 cases,respectively,the major channel by percutaneous renal fistula lithotripsy and percutaneous renal micro-fistula lithotomy （MPCNL）.【Results】The major channel of percutaneous renal fistula lithotomy mean operative time was 72 min,blood loss of about 110 mL,to take the net rate of 90% of the stones,two stones to take the net rate of 98%,intraoperative and postoperative bleeding or line does not appear super-selective renal embolization.Percutaneous renal micro-fistula lithotomy were operating time was 150 min,blood loss of about 105 mL,to take the net rate of 80% of the stones,two stones to take the net rate of 90%,intraoperative and postoperative bleeding does not occur or line of super-selective renal embolization.【Conclusion】 Percutaneous nephrolithotomy channel treatment of complex renal calculi reduce surgical time and improve the stone to take the net rate,without increasing the risk of injury and bleeding.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第2期190-191,共2页
China Journal of Endoscopy
关键词
大通道
经皮肾造瘘
复杂性肾结石
large channel
percutaneous renal fistula
complex kidney stones
