摘要
目的:探讨经皮肾镜钬激光碎石取石术(PCNL)治疗肾盏憩室结石的安全性及疗效。方法:对接受PCNL治疗的10例肾盏憩室结石患者的临床资料进行回顾性分析总结。结果:9例患者均行单通道一期碎石及取石,平均手术时间90 min,平均留置肾造瘘管7天,平均住院12天,术后住院时间7天。1例患者穿刺失败中转开放手术。均未出现大出血或邻近器官损伤等并发症,术后复查尿路平片示结石全部取净。结论:PCNL术治疗肾盏憩室结石安全、可行,疗效确切,与开放手术相比,能减少术中、术后出血及并发症,结石取净率高。具有创伤小、恢复快等优点。
Objective： To investigate the safety and feasibility of percutaneous nephrolithotomy （PCNL） in treating renal caliceal diverticular calculi. Methods： A restrospective investigation was done in 10 cases with renal caliceal diverticular calculi,who were treated with PCNL. Results：9 cases were achieved using one stage percutaneous nephrolithotomy. Mean operative time was 90 minutes, average nephrostomy tube stay was 6 days and mean hospital stay was 12 days. 1 case had an open operation treatment for the failure of percutaneous puncturation. No major complications were noted. There were no remains of stone by X-ray examination after operation. Conclusions：MPCNL was an effective and feasible treatment option for symptomatic caliceal diverticular calculi in selective cases with the advantage of fewer trauma, less complication, shorter hospital stay time, quicker recovery and higher clearance over open operation.
出处
《临床泌尿外科杂志》
北大核心
2010年第10期759-760,共2页
Journal of Clinical Urology
关键词
经皮肾穿刺取石术
肾盏憩室
肾结石
超声引导
percutaneous nephrolithotomy
caliceal diverticular calculi
renal calculi
ultrasound guided
