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目的探讨微创经皮肾穿刺取石术(PCNL)治疗肾铸型结石的安全性及有效性。方法对接受微创经皮肾穿刺取石术的8例患者的治疗过程进行分析。结果 所有患者均行一期穿刺取石,共行9次手术。结石清除率63％(5／8),平均手术时间110 min,术中均不需要输血,术后亦无严重并发症。术后恢复快,平均住院时间7天,较开放手术住院时间明显缩短。结论微创经皮肾穿刺取石术治疗肾铸型结石安全有效。对残留结石和复发结石的再次手术治疗有较大优越性。
Objective To investigate the safety and efficacy of minimally invasive percutaneous nephrolithotomy (PCNL) in the treatment of renal calculi. Methods Eight patients who underwent minimally invasive percutaneous nephrolithotomy were analyzed. Results All patients underwent a puncture and a total of 9 operations. The stone removal rate was 63% (5/8). The average operation time was 110 minutes. No blood transfusion was required during operation and no serious complications were found after operation. Fast recovery after surgery, the average length of stay 7 days, significantly shorter hospitalization time than open surgery. Conclusions Minimally invasive percutaneous nephrolithotomy is safe and effective in the treatment of renal calculi. Residual stones and recurrent stones have greater advantages in surgical treatment.