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目的:探讨微创经皮肾输尿管镜治疗肾结石的方法和疗效。方法:2004年4月～2008年3月,我院采用微创经皮肾输尿管镜取石技术对160例肾结石患者进行了治疗。手术方法为,X线透视下或B超引导下于10肋下肩胛下角线与腋后线的范围内穿刺肾脏,建立一个或2～4个16或18F的通道,直视下用气压弹道碎石机将结石击碎后取出,少数残留结石行ESWL治疗。结果:肾结石160例中,其中独肾3例;双侧肾结石48例,单侧结石112例;113例为多通道取石,47例为单通道取石;148例一次取净结石,12例残留结石行ESWL治疗。本组无严重并发症。结论:微创经皮肾输尿管镜取石治疗具有创伤小、结石取净率高、并发症少、住院时间短等优点。
Objective: To explore the method and effect of minimally invasive percutaneous nephrolithotomy in the treatment of kidney stones. Methods: From April 2004 to March 2008, 160 cases of kidney stones were treated by minimally invasive percutaneous nephrolithotomy in our hospital. Surgical methods, under X-ray or B-guided under the 10 scapular scapular angle and axillary line within the scope of the puncture of the kidneys, the establishment of one or two or four channels 16 or 18F, under direct vision pressure ballistic Stone machine crushed stones removed, a small number of residual stones line ESWL treatment. Results: Of the 160 cases of kidney stones, 3 cases were single kidneys, 48 cases of bilateral renal calculi and 112 cases of unilateral calculi, 113 cases were multi-channel stone, 47 cases were single-channel stone, 148 cases were stone net and 12 cases Residual stones ESWL treatment. This group no serious complications. Conclusion: Minimally invasive percutaneous nephroureterectomy has the advantages of small trauma, high rate of stone removal, fewer complications and shorter hospital stay.