四种穿刺方法建立经皮肾通道行经皮肾镜取石术治疗上尿路结石116例报告

目的：评价不同穿刺方法建立经皮肾通道的优缺点。方法：对116例上尿路结石患者采用不同穿刺方法建立经皮肾通道，其中采用C臂X线机定位穿刺65例，B超定位穿刺35例，盲穿刺16例，小切口手指引导穿刺4例。结果：成功建立通道112例，改行开放手术4例。结石残留率为15．2％。术后平均住院天数为6．5d。结论：各种定位穿刺方法各有优缺点，可根据患者具体情况进行选择。

Developing renal tract for percutaneaous nephrolithotomy by 4 different ways

Purpose:To assess the feasibility and available of 4 different ways to develop renal tract percutaneous nephrolithotomy.Method:116 cases with calculus of upper urinary tract were reported. 65 cases were established the renal tract of percutaneous nephrolithotomy guided by the portable fluoroscopic imaging system, and 35 cases by ultrasound B. 16 cases were established the renal tract of percutaneous nephrolithotomy by direct puncture, and 4 cases were established the renal tract of percutaneous nephrolithotomy by a small incisions.Result:112 cases were successfully established the renal tract of percutaneous nephrolithotomy, and 4 cases were failed. The rate of residual stone was 15.2. The average length of stay is 6.5 days.Conclusion:The different way can be used in different situation.