摘要
目的探讨应用两步法建立标准皮肾通道经皮肾镜取石术的安全性和有效性。方法2007年11月至2010年12月，应用彩超引导下两步法建立标准通道经皮肾镜取石术治疗上尿路结石患者208例，共235侧上尿路结石，其中包括：孤立肾12例，肾盏憩室合并结石3例，髓质海绵肾3例。结石纵径1．7～8．0cm，横径1．6～5．5cm。结果208例均一期成功建立经皮肾镜碎石通道。203例行一期取石术，5例行二期取石术。平均通道建立时间15．7±12．3min，平均手术时间72．6±33．9min。一期手术清石率88．5％，二期手术清石率为93．6％。术中、术后输血患者16例。并发液气胸1例，灌注液外渗3例，无感染性休克及肠道、肝、脾等腹腔脏器损伤。结论两步法建立标准皮肾通道的经皮肾镜取石术是安全和有效的方法。
Objective To evaluate the efficacy and safety of 24 F standard-tract percutaneous nephrolithotomy （PCNL） accessed by two-step dilation. Methods A total of 208 patients with 235 kidneys or upper ureteral calculi underwent 24 F standard-tract PCNL accessed by two-step dilation between Nov 2007 and Dec 2010, including 12 patients with solitary kidney, 3 with kidney cysts, 3 with medullary sponge kidney. Stone length were 1.7-8.0 cm and width were 1.6-5.5 cm. Results Two hundred and eight operations were successful in one-session access, The mean first accessing time were 15.7±12.3 rain. The mean operating time was 72.6±33.9 min. The stone-free rate after one session operation was 88.5% and after second session operation was 93.6%. During and after operation, 16 cases needed transfusion. No septic shock and injury of adjacent organs occurred except for 1 cases with pneumatothorax and 3 with urinary ex- travazation. Conclusion 24 F standard-tract PCNL accessed by two-step dilation with ultrasound-guided puncture is effective and safe.
出处
《中华腔镜泌尿外科杂志（电子版）》
2012年第1期29-32,共4页
Chinese Journal of Endourology(Electronic Edition)
关键词
上尿路结石
经皮肾镜取石术
肾造口术
Upper urinary calculi
Pereutaneous nephrolithotomy
Nephrostomy
