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目的:分析微创经皮肾镜取石术(MPCNL)治疗孤立肾结石的疗效。方法:选取MPCNL治疗孤立肾结石患者136例,男86例,女50例,年龄28~69岁,利用自行设计的调查表记录患者术前、术中和术后的临床资料,总结分析相关参数。结果:手术时间(62~126(78.6±11.2))min,出血量(51~110(70.4±8.7))mL,住院时间(7~13(7.8±1.2))d。一期结石取净率为80.1%(109/136),二期结石取净率为86.8%(118/136)。术后并发症的发生率11.0%(15/136)。结论:MPCNL是治疗孤立肾结石患者较理想的选择。
Objective: To analyze the curative effect of minimally invasive percutaneous nephrolithotomy (MPCNL) in the treatment of solitary kidney stones. Methods: 136 cases of solitary kidney stones were selected from MPCNL. There were 86 males and 50 females, aged from 28 to 69 years. Preoperative, intraoperative and postoperative clinical data were recorded by a self-designed questionnaire. The related parameters . Results: The operative time (62 ~ 126 (78.6 ± 11.2) min, the amount of bleeding (51 ~ 110 (70.4 ± 8.7) mL, length of hospital stay (7 ± 13) The first stone removal rate was 80.1% (109/136), the second stone removal rate was 86.8% (118/136). The incidence of postoperative complications was 11.0% (15/136). Conclusion: MPCNL is an ideal treatment for patients with isolated kidney stones.