[1]梁福律＊ 涂建平 林剑峰 郭昭建 范先明 张遵俊 胡力仁.超微经皮肾镜取石术治疗2~2.5 cm肾结石【摘要】[J].中国微创外科杂志,2018,18(12):1137-1142.
　Liang Fulv,Tu Jianping,Lin Jianfeng,et al.Efficacy of Supermini Percutaneous Nephrolithotomy in the Treatment of 2-2.5 cm Renal Calculi[J].Chinese Journal of Minimally Invasive Surgery,2018,18(12):1137-1142.
点击复制

超微经皮肾镜取石术治疗2~2.5 cm肾结石【摘要】()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年12期
页码:
1137-1142
栏目:
经验交流
出版日期:
2018-12-20

文章信息/Info

Title:
Efficacy of Supermini Percutaneous Nephrolithotomy in the Treatment of 2-2.5 cm Renal Calculi
作者:
梁福律＊ 涂建平 林剑峰 郭昭建 范先明 张遵俊 胡力仁
（福建中医药大学附属厦门市第三医院泌尿外科，厦门361100）
Author(s):
Liang Fulv;  Tu Jianping;  Lin Jianfeng;  et al.
Department of Urology, Third Hospital of Xiamen, The Affiliated Hospital of Fujian TCM University, Xiamen 361100, China
关键词:
超微经皮肾镜取石术; 肾结石
Keywords:
Supermini percutaneous nephrolithotomy; Renal calculi
文献标志码:
B
摘要:
目的探讨超微经皮肾镜取石术（supermini percutaneous nephrolithotomy，SMP）治疗2~2.5 cm肾结石的安全性及有效性。方法回顾性分析2017年3月~2018年3月32例SMP治疗2~2.5 cm肾结石的临床资料。结果31例顺利完成手术，1例因术中出血导致视野模糊而终止手术，术后1个月复查残石直径约0.9 cm。1例肾中盏结石术后1个月复查残留结石约0.7 cm。此2例均辅助行体外冲击波碎石（extracorporeal shockwave lithotripsy，ESWL）治疗后排出。术后1个月清石率93.8%（30/32）。术后均无大出血、发热等并发症发生。结论SMP治疗2~2.5 cm肾结石安全有效。
Abstract:
ObjectiveTo evaluate the safety and efficacy of supermini percutaneous nephrolithotomy (SMP) in the treatment of 2-2.5 cm renal calculi.MethodsA retrospective analysis was made on general clinical data of 32 cases who had 2-2.5 cm renal calculi treated by supermini percutaneous nephrolithotomy between March 2017 and March 2018. ResultsThe operations were performed successfully in 31 cases. And the operation was discontinued due to intraoperative bleeding in 1 case. At 1 month after operation, a residual fragment about 0.9 cm was found. In 1 case of middle calyx stones, a residual fragment about 0.7 cm was found at 1 month after operation. The two cases were cured by extracorporeal shockwave lithotripsy (ESWL). The stonefree rate was 93.8% (30/32) at the first month after operation. No heavy bleeding or fever occurred in any patient after operation.ConclusionSMP is effective to treat 2-2.5 cm renal calculi.

参考文献/References:

[1]那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南2014版.北京:人民卫生出版社,2014.137.
[2]Geavlete P，Multescu R,Geavlete B.Influence of pyelocaliceal anatomy on the success of flexible ureteroscopic approach.J Endourol,2008,22(10):2235-2239.
[3]EINahas AR，Shokeir AA，Mohsen T，et al．Functional and morphological effects of postpercutaneous nephrolithotomy superselective renal angiographic embolization.Urology，2008，71(3)：408-412．
[4]王宇雄，李逊，谢小平，等.经皮肾镜取石术不同直径工作通道对肾血管损伤的研究.中华腔镜泌尿外科杂志，2012,12（6）：434-438.
[5]Jianhe L，Chunwu P，Ruipeng L.Flexible ureteroscope with holmium laser lithotripsy for renal stones of more than 2 cm in diameter.Chin J Min Inv Surg,2014,14（12）：132-137.
[6]朱建，李小鑫，鞠建,等.超微通道经皮肾镜碎石术治疗上尿路结石的疗效及安全性评估.微创泌尿外科杂志，2016,5（5）：300-302.
[7]陈科梁，鲁佩，杨杰，等.超微经皮肾镜与输尿管软镜治疗肾结石的疗效比较.现代泌尿外科杂志，2017,22(7):517-521.
[8]廖国栋，俞蔚文，章越龙，等.超微经皮肾镜取石术在治疗肾及输尿管上段2cm结石中的应用.临床泌尿外科杂志，2016,31（7）：590-592.
[9]Tepeler A,Armagan A,Sancaktutar AA,et al.The role of microperc in the treatment of symptomatic lower pole renal calculi.J Endourol,2013,27(1):13-18.
[10]曾国华，万肖蓬，陈文忠，等.超微经皮肾镜取石术治疗31例肾结石的初步体会.中华泌尿外科杂志，2014,35（1）：6-9.
[11]Sebaey A，Khalil MM，Soliman T，et al.Standard versus tubeless minipercutaneous nephrolithotomy:a randomised controlled trial. Arab J Urol,2016,14(1):18-23.

备注/Memo

备注/Memo:
＊通讯作者，Email:liangfulv@163.com
更新日期/Last Update: 2019-03-01