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目的评价F24标准通道经皮肾镜取石术(standard tract percutaneous nephrolithotomy,SPCNL)治疗孤立肾肾结石的安全性与临床疗效。方法回顾性分析采用SPCNL治疗孤立肾肾结石38例患者的临床资料,其中8例脓肾先经皮肾穿刺造瘘术,5～7d后二期全身麻醉下行SPCNL术,30例一期全身麻醉下行SPCNL术;36例均为单通道取石,2例双通道取石。结果本组手术时间52min,无严重并发症发生;一期结石取净28例(73.7%);2例接受输尿管镜钬激光碎石术治疗残石,均取净;8例无症状带石患者行体外冲击碎石术或保守药物排石;术后随访2～24个月,残石均清除。结论 SPCNL治疗孤立肾肾结石安全、有效。
Objective To evaluate the safety and clinical efficacy of F24 standard channel percutaneous nephrolithotomy (SPCNL) in the treatment of solitary kidney nephrolithiasis. Methods The clinical data of 38 patients with solitary renal nephrolithiasis treated by SPCNL were retrospectively analyzed. Among them, 8 cases were treated by percutaneous nephrostomy, 5 cases were treated with SPCNL under general anesthesia in 2 ~ 7 days and 30 cases were treated by general anesthesia Descending SPCNL surgery; 36 cases were single-channel stone, two cases of double-channel stone. Results The operation time of this group was 52 minutes without serious complications; 28 cases (73.7%) were treated with stones in the first stage, 2 cases were treated with ureteroscopic holmium laser lithotripsy, and the net was taken. In 8 asymptomatic patients with stone External shock lithotripsy or conservative drugs row stone; follow-up 2 to 24 months after the removal of residual stone. Conclusion SPCNL is safe and effective in the treatment of isolated kidney and kidney stones.