经皮肾镜下穿刺微造瘘取石术治疗鹿角形肾结石的效果观察

目的观察经皮肾镜下穿刺微造瘘取石术治疗鹿角形肾结石的治疗效果。方法选取近年来于本院诊治的220例鹿角形肾结石患者为研究对象，全部患者采取经皮肾镜下穿刺微造瘘取石术进行治疗．观察临床治疗效果并进行评价。结果全部220例患者均1次穿刺成功；患者经1-3期取净结石，结石取净率达95．9％；总结石排净率为100．0％。患者手术时间平均为（168±48）min，术中平均出血量为（48．8±10．1）mL，平均住院时间为（17．2±9．8）d。患者术中术后无大出血症状和其他严重并发症发生。结论经皮肾镜下穿刺微造瘘取石术治疗鹿角形肾结石简单可靠，患者创伤小、恢复快，术后并发症少。

The effect observation of minimally invasive of lithotomy percutaneous nephrolithotomy puncture in the treatment of staghorn calculi

Objective To observe the treatment effect for minimally invasive of lithotomy percutaneous nephrolithotomy puncture in the treatment of staghorn calculi. Methods Two hundred and twenty cases of staghorn calculi patients for treatment in our hospital in recent years were chosen as the research object. All patients were taken with the pereuta- neous nephrolithotomy puncture reno lithotripsy for treatment and the clinical outcomes were taken for evaluation. Re- sults Two hundred and twenty patients were with once successful puncture. Patients were with 1 to 3 removed stones, the net rate of taking stones was 95.9%, the stone free rate was 100.0%. The average operative time of the patients were （168±48） min, the mean intraoperative blood loss was （48.8 ± 10.1） mL, the average length of stay was （17.2±9.8） d. There was no bleeding symptoms and other serious complications in the patients of undergoing and postopera- tive the surgery. Conclusion The minimally invasive of lithotomy percutaneous nephrolithotomy puncture in the treat- ment of staghorn calculi is reliable. Patients are with trauma, faster recovery, and less post-operative complications.