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目的:探讨改良无管化(即术后不带造瘘管,5~7天拔除尿管并随丝线带出双J管,完全不带管出院)微造瘘经皮肾镜取石术(mini-PCNL)治疗肾结石的疗效及安全性。方法:回顾性分析mini-PCNL治疗肾结石患者56例,男38例,女18例,1.5cm≤结石直径≤3.0cm。结果:mini-PCNL治疗肾结石术中出血量约为(55±30)ml,手术时间平均51.6min。49例患者一次取石成功;7例复查见小残石,对>0.6cm结石辅以ESWL治疗,对≤0.6cm结石则随访观察。术后患者住院时间6~8d。结论:mini-PCNL治疗肾结石安全有效,结石清除率高,并发症少,可极大地减轻患者痛苦,值得临床推广使用。
OBJECTIVE: To investigate the effect of mini-fistula mini-fistula (ie, no fistula after operation, removal of catheter within 5-7 days and double J tube with silk thread without discharge tube) PCNL) in the treatment of renal stones and safety. Methods: A retrospective analysis of mini-PCNL treatment of 56 patients with kidney stones, 38 males and 18 females, 1.5cm ≤ stones diameter ≤ 3.0cm. Results: The mini-PCNL treatment of renal stones in the amount of bleeding was about (55 ± 30) ml, the average operation time was 51.6min. 49 cases of patients with a successful stone; 7 cases of small residual stone review, 0.6cm stone with ESWL treatment, ≤ 0.6cm stones were followed up. Postoperative patients hospitalized 6 ~ 8d. Conclusion: The mini-PCNL treatment of renal stones safe and effective, high stone clearance rate, fewer complications, can greatly reduce the pain of patients, it is worth promoting the use of the clinic.