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微创经皮肾穿刺取石术52例报告
引用本文:李宝兴,卢振权,罗波,刘文泓.微创经皮肾穿刺取石术52例报告[J].中国微创外科杂志,2005,5(10):847-847,855.
作者姓名:李宝兴  卢振权  罗波  刘文泓
作者单位:深圳市盐田区人民医院泌尿外科,深圳518081
摘    要:目的探讨微创经皮肾穿刺取石术 (minimally invasive percutaneous nephrolithotomy,MPCNL)的疗效.方法 52例肾或输尿管结石患者,在C形臂机和(或)B超定位下行MPCNL.结果除1例术中因肾盂穿孔转开放性手术外,Ⅰ期取净结石33例,l周后经造瘘管再行MPCNL取净结石15例,两次手术结石总取净率为92.3%,手术时间1.5~4 h,平均2.5 h.术中无输血.结论 MPCNL安全、疗效好,易在基层医院推广.

关 键 词:经皮肾穿刺取石术  输尿管镜  肾结石
文章编号:1009-6604(2005)10-0847-02
收稿时间:10 20 2004 12:00AM
修稿时间:2004-10-202005-02-24

Minimally invasive percutaneous nephrolithotomy: A report of 52 cases
Li Baoxing, Lu Zhenquan, Luo Bo,et al..Minimally invasive percutaneous nephrolithotomy: A report of 52 cases[J].Chinese Journal of Minimally Invasive Surgery,2005,5(10):847-847,855.
Authors:Li Baoxing  Lu Zhenquan  Luo Bo  
Institution:Li Baoxing, Lu Zhenquan, Luo Bo, et al.
Abstract:Objective To investigate the effect of minimally invasive percutaneous nephrolithotomy(MPCNL) in the management of renal or ureteral calculi.Methods MPCNL was performed in 52 patients with renal or ureteral calculi under the localization of C-arm fluoroscopy and/or B-ultrasonography.Results Among the 52 patients,a conversion to open surgery was needed in 1 patient because of perforation of the renal pelvis.The stones were completely extracted on one session in 33 patients,and by a re-operation of MPCNL through the fistulization tube 1 week later in 15 patients.The total stone-free rate was 92.3%.The operation time was 1.5~4 h(mean, 2.5 h).No blood transfusion was needed.Conclusions Minimally invasive percutaneous nephrolithotomy is a safe and effective procedure,especially suitable for basic hospitals.
Keywords:Percutaneous nephrolithotomy  Ureteroscope  Renal calculus
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