微造瘘经皮肾穿刺输尿管镜碎石取石术

目的：探讨微造瘘经皮肾穿刺输尿管镜碎石取石术治疗复杂性上尿路结石的疗效和安全性。方法：对32例接受微造瘘经皮肾穿刺输尿管镜碎石取石术治疗复杂性上尿路结石患者的临床资料进行回顾性分析。结果：32例患者中29例成功施行一期取石术取净结石,二期取石3例。平均手术时间140m in,肾造瘘管留置时间平均5天,住院时间平均9天,未出现严重的并发症。结论：微造瘘经皮肾穿刺输尿管镜碎石取石术具有出血少、可重复、安全可靠、住院时间短、结石清除率高、并发症少等优点,是治疗复杂性上尿路结石的较好的微创方法。

Treatment of renal and proximal ureteral calculi with mini invasive percutaneous nephrolithotomy

Objective：To evaluate clinical efficacy and safety of minimally invasive percutaneous ureteroscopic lithotripsy for complex upper urinary tract calculi.Methods：32 patients underwent minimally invasive percutaneous ureteroscopic lithotripsy for complex upper urinary tract calculi and their clinical data were analyzed by retrospective.Results：29 cases of successful implementation of one section removing the stone,3 cases were performed secondary stage operation,the mean time of operation was 140 minutes,nephrostomy tube indwelling time was 5 days,the average hospital stay was 9 days,all cases have no serious complications.Conclusion：It is a significantly effective and safe approach that the minimally invasive percutaneous ureteroscopic lithotripsy in managing complicated upper urinary tract calculi with advantages of less bleeding,repeatable,rapid recovery,shorter hospital stay,high stone clearance rate and fewer complications.