摘要
目的探讨微创经皮肾镜钬激光碎石术(M-PCNL)治疗复杂性肾结石的有效性和安全性。方法应用M-PCNL术治疗51例复杂性肾结石,统计分析手术时间、结石清除率和手术并发症。结果单通道取石46例(90.2%),双通道5例(9.8%);Ⅰ期取石41例(80.4%),Ⅱ期取石10例(19.6%);手术时间90～170(105±21)min;45例结石取净,总结石取净率88.2%;术中输血14例,术后3例,术后迟发性大出血1例,经选择性肾动脉栓塞后治愈;平均住院时间(12±2.7)d。结论 M-PCNL治疗复杂性肾结石安全、有效,术中出血及并发症少,结石清除率高。
Objective To evaluate the efficacy and safety of minimally invasive percutaneous nephrolithotomy（M-PCNL） with holmium YAG laser lithotripsy in the treatment of complicated renal stone.Methods M-PCNL was performed in 51 cases with complicated renal stone.The clinical data of operation time,stone clearance rate and operative complications were retrospectively analysed.ResultsOf the 51 cases,single channel was used in 46 cases（90.2%）,and two channel in 5（9.8%）.Stage Ⅰ operation was performed in 41 cases（80.4%） and stage Ⅱ in 10 cases（19.6%）.The operation time was 90～170（105±21） min.Complete stone cleanance was achieved in 45 renal units with an overall cleanance rate of 88.2%. Blood transfusion was needed in 14 cases during operation and 3 cases after sugery.One patient complicated with severe bleeding after operation,who was successfully treated with super-selective artierial embolization.The hospital stay was （12±2.7） days.ConclusionM-PCNL is effective and safety in the treatment of complicated renal stone with higher clearance rate and less complications.
出处
《江苏医药》
CAS
CSCD
北大核心
2010年第18期2178-2180,共3页
Jiangsu Medical Journal
关键词
肾结石
微创经皮肾镜
钬激光
Renal stone
Minimally invasive percutaneous nephrolithotomy
Holmium YAG laser
