微创经皮肾取石术治疗独立肾结石

目的：探讨微创经皮肾取石术治疗孤立肾结石的临床疗效与手术技巧。方法：利用微创经皮肾取石术治疗孤立肾结石18例,14例患者行一期微创经皮肾取石．4例行经皮肾穿刺造瘘术,5～7天后行二期取石术。结果：结石清除15例（83．3％）。在结石残留的3例患者中,1例残留结石下移至输尿管下段,用输尿管镜将结行取出;余2例结石残留。肾内,未作进一步处理,本组患者术后肾功能基本恢复正常或好转。结论：微创经皮肾取石术治疗独立肾结石是一种安全、有效的方法。

Treatment of Solitary Kidney Calculi with Minimally Invasive Percutaneous Nephrolithotomy

Objective:To study the efficacy and technique of minimally invasive percutaneous nephrolithotomy in treating solitary kidney calculi.Methods:Eighteen patients with solitary kidney calculi,treated with minimally invasive percutaneous nephrolithotomy,fourteen of them were performed one-stage minimally invasive percutaneous nephrolithotomy,then four cases performed secondary pneumatic lithotripsy under percutaneous nephrostomy after 5-7 days.Results:The stone clearance patients were 15cases(83.3%).Three cases residual stones patients. One case with residual stone down lower ureter.remove calculi hy ureteroscope.Two cases with residual stones received conservative treatments.The renal function in the group recover to the normal level or get progress after operalion. Conclusions:Minimally invasive percutaneous nephrolithotomy is effective and safe in treatment solitary kidney calculi.