论文部分内容阅读
目的:探讨微创经皮肾镜取石术(MPCNL)治疗重复肾合并结石的临床应用价值。方法:2009年3月~2012年12月采用MPCNL治疗成人重复肾合并结石患者19例,其中男8例,女11例,平均年龄(30.2±8.8)岁;上位肾结石7例,下位肾结石8例,上下位肾均有结石4例。结石平均直径3.3(2.7~4.1)cm。结果:19例患者均手术成功,其中17例一次性取尽结石;2例有少量结石残留,经二次取石取尽。本组患者均未出现严重手术并发症。结论:MPCNL治疗重复肾合并结石效果良好,具有创伤少、安全可靠的特点。
Objective: To investigate the clinical value of minimally invasive percutaneous nephrolithotomy (MPCNL) in the treatment of recurrent renal calculi. Methods: From March 2009 to December 2012, 19 patients with recurrent renal calculi were treated with MPCNL, including 8 males and 11 females, with an average age of 30.2 ± 8.8 years, 7 cases of upper kidney stones and 7 cases of lower kidney stones 8 cases, upper and lower kidney have stones in 4 cases. The average diameter of stones 3.3 (2.7 ~ 4.1) cm. Results: All the 19 patients were successfully operated, among them, 17 cases were completely eliminated stones and 2 cases had a small amount of residual stones which were removed by secondary stone extraction. This group of patients did not appear serious surgical complications. CONCLUSION: MPCNL is effective in treating recurrent renal calculi with less trauma and safety.