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目的探讨经皮肾镜微造瘘碎石取石联合气囊肾造瘘管固定肾脏治疗肾下垂肾结石的安全性及有效性。方法回顾性分析11例接受经皮肾镜微造瘘碎石取石,带气囊肾造瘘管固定肾脏术治疗肾下垂肾结石患者的临床资料。结果手术时间平均为(69±4.3)min,结石直径平均为(2.19±0.75)cm,术后留置肾造瘘管3周,留置D-J管4～5周。术后复查KUB平片,10例取净,1例有结石残留。结石直径小于10 mm,行体外震波碎石,结石排出。11例患者,I期结石清除率为81.8%,无严重并发症发生。术后随访3个月～2年,无结石复发,肾下垂10例治愈,1例减轻。结论经皮肾镜微造瘘碎石取石联合气囊肾造瘘管固定肾脏术治疗肾下垂肾结石安全可行,创伤小、恢复快,疗效确切。
Objective To investigate the safety and efficacy of percutaneous nephrolithotomy combined lithotripsy and balloon nephroureterectomy for the treatment of renal pituitary nephrolithiasis. Methods The clinical data of 11 patients who underwent percutaneous nephrolithotomy and lithotripsy with balloon nephroureterectomy and nephrectomy for renal ptosis were retrospectively analyzed. Results The average operation time was (69 ± 4.3) min. The mean diameter of the stones was (2.19 ± 0.75) cm. The renal fistula was left for 3 weeks and the D-J tube was left for 4 to 5 weeks. Postoperative KUB plain film review, 10 cases of net, 1 case of residual stones. Stones diameter less than 10 mm, extracorporeal shock wave lithotripsy, stones discharged. Eleven patients, stage I stone clearance rate was 81.8%, no serious complications. All patients were followed up for 3 months to 2 years. No recurrence of stones, 10 cases of renal ptosis were cured, and 1 case was relieved. Conclusion Percutaneous nephrolithotomy fistula lithotripsy combined with balloon nephroureterectomy nephrectomy is safe and feasible for traumatic nephrolithiasis, with less trauma, faster recovery and definite curative effect.