论文部分内容阅读
目的:探讨微创经皮肾镜(mPCNL)治疗上尿路结石的有效性及安全性。方法:对42例上尿路结石患者的临床资料进行回顾性分析。结果:29例患者1次取净结石,6例患者因术中出血择期行二期手术。7例有肾盏残余结石,术后行体外震波碎石治疗,结石总取净率为83.3%。手术时间平均162 min。肾造瘘管留置时间平均7.5 d,平均住院12 d,术中1例患者输血,输血量为2 U浓缩红细胞。未出现大的并发症。结论:mPCNL治疗上尿路结石能减少术中、术后出血及并发症,提高结石的清除率,是对治疗上尿路结石有较大优势的微创腔内技术。
Objective: To investigate the effectiveness and safety of minimally invasive percutaneous nephrolithotomy (mPCNL) in the treatment of upper urinary calculi. Methods: The clinical data of 42 patients with upper urinary tract stones were analyzed retrospectively. Results: Twenty-nine patients had net stones one time and six patients underwent second-stage surgery due to intraoperative bleeding. 7 cases of residual calyceal calculus, extracorporeal shock wave lithotripsy after surgery, the total removal rate of stones was 83.3%. The average operation time was 162 minutes. Renal fistula indwelling time averaging 7.5 d, the average hospitalization 12 d, intraoperative blood transfusion in 1 patient, transfusion volume of 2 U concentrated red blood cells. No major complications occurred. Conclusion: mPCNL treatment of upper urinary tract stones can reduce intraoperative and postoperative bleeding and complications, improve the clearance rate of stones, is a minimally invasive intraluminal technique for the treatment of upper urinary calculi.