[1]沈军①.微创经皮肾穿刺碎石取石术治疗上尿路结石[J].中国微创外科杂志,2008,08(3):260-261.
　Shen Jun..Minimally Invasive Percutaneous Nephrolithotomy for Upper Urinary Tract Calculi[J].Chinese Journal of Minimally Invasive Surgery,2008,08(3):260-261.
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微创经皮肾穿刺碎石取石术治疗上尿路结石()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年3期
页码:
260-261
栏目:
出版日期:
2008-10-25

文章信息/Info

Title:
Minimally Invasive Percutaneous Nephrolithotomy for Upper Urinary Tract Calculi
作者:
沈军①
安徽省六安市人民医院泌尿外科,六安237005
Author(s):
Shen Jun.
Department of Urology,People’s Hospital of Liuan City, Liuan 237005, China
关键词:
经皮肾穿刺碎石取石术; 尿路结石
Keywords:
Percutaneous nephrolithotomy; Urinary tract calculi
分类号:
R692.4;R693+.4
文献标志码:
A
摘要:
目的探讨采用微创经皮肾穿刺碎石取石术（minimally invasive percutaneous nephrolithotomy，mPCNL）治疗上尿路结石的安全性及有效性。方法我院2003年10月~2006年12月使用Karl Storz F8/9.8硬性输尿管镜联合国产气压弹道碎石机，采用mPCNL治疗上尿路结石127例。 结果125例一次穿刺成功，2例穿刺失败中转开放手术，结石清除率898%（114/127）。手术时间78～185 min，平均108 min；术后肾造瘘管留置5~11 d，平均7 d；术后住院5～12 d，平均8.1 d。输血2例。1例术后8 d肾造瘘口大出血，经高选择性肾动脉栓塞止血治愈。117例获随访1～16个月，平均5.3月，B超或X线片检查，未见结石复发。结论mPCNL具有结石清除率高、创伤小、恢复快、住院时间短等优点，是治疗上尿路结石的一种安全、有效的方法。
Abstract:
ObjectiveTo evaluate the safety and feasibility of minimally invasive percutaneous nephrolithotomy (mPCNL) for the treatment of upper urinary tract calculi.MethodsFrom October 2003 to December 2006, mPCNL was performed on 127 patients suffering from upper urinary tract calculi by using Karl Storz F8/9.8 rigid ureteroscope and homemade pneumatic ballistic lithotriptor.ResultsOf the 127 cases, mPCNL was completed in 125, and was converted to open surgery in 2. The rate of stone removal was 89.8% (114/127). The operation time was 78-185 min (mean 108 min). Nephrostomy tube was kept for a mean of 7 d (5-11 d). The mean hospital stay was 8.1 d (5-12 d). Two patients received blood transfusion during the operation. One patient developed massive hemorrhage at the nephrostomy opening, and was cured by highselective renal artery embolization. Among the patients, 117 were followed up for 1-16 months (mean 5.3), during which no recurrent urinary tract stones was found by Bultrasonography or Xray. ConclusionsBy using mPCNL, patients with upper urinary tract calculi can be treated safely and effectively with a high rate of stone removal, less trauma, quick recovery, and short hospital stay.

参考文献/References:

[1]李逊，曾国华，吴开俊，等.微创经皮肾穿刺取石术治疗上尿路结石（858例1015次治疗经验）.临床泌尿外科杂志，2003，18：516-518.
[2]高新,周铁,萧翠兰,等.单用B超引导建立经皮肾通道行经皮肾镜取石术(附102例报告).临床泌尿外科杂志，2003，18：10-12.
[3]袁坚,吴开俊.经皮肾镜术并发大出血16例报告.中华泌尿外科杂志，1995，10：530-531.
[4]李逊，曾国华，袁坚，等.经皮肾穿刺取石术治疗上尿路结石(20年经验).北京大学学报（医学版），2004，36：124-126.
[5]叶利洪，陈永良，陶水祥，等.输尿管镜下气压弹道碎石疗效的影响因素（附126例报告）.中国微创外科杂志，2002，2（3）：146.

备注/Memo

备注/Memo:
①现工作单位：广东医学院附属深圳市第六人民医院（南山医院）泌尿外科，深圳518052
更新日期/Last Update: 2013-10-22