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经皮肾穿刺微造瘘碎石取石术治疗复杂肾结石的临床疗效分析
引用本文:黄旭光,潘晓明,刘艺辉.经皮肾穿刺微造瘘碎石取石术治疗复杂肾结石的临床疗效分析[J].中华腔镜泌尿外科杂志(电子版),2009,3(4):37-39.
作者姓名:黄旭光  潘晓明  刘艺辉
作者单位:广东省乐昌市人民医院,512200
摘    要:目的探讨经皮肾穿刺微造瘘碎石取石术(MPCNL)治疗复杂肾结石的有效性与安全性。方法对我院78例采用MPCNL治疗的复杂肾结石患者的临床资料进行回顾性分析。结果78例MPCNL均一期顺利完成,采用1-3个通道,其中单通道取石63例,多通道取石15例;1次取石59例,2次以上取石19例;69例结石全部取尽,结石清除率为88.5%;平均手术时间94.7min,术中出血量平均58.4ml,术后平均住院时间5.4d。所有病例均无严重手术并发症。结论MPCNL是一种安全、高效及可靠的治疗复杂性肾结石的方法,具有损伤小、恢复快、结石清除率高、并发症少等优点。

关 键 词:微创经皮肾穿刺取石术  复杂肾结石

Minimally invasive percutaneous nephrolithotomy for the treatment of complex renal calculi
Authors:HUANG Xu-guang  PAN Xiao-ming  LIU Yi-hui
Institution:. (People′s Hospital of Lechang City, Guangdong512200,China)
Abstract:Objective To explore the egicacy and safety of minimally invasive percutaneous nephrolithotomy (MPCNL) for the treatment of complex renal calculi, blethods Clinical data of 78 patients with complex renal calculi who underwent minimally invasive percutaneous nephrolithotomy were analyzed retrospectively. Remits All the surgeries in 78 patients achieved success in one stage with one to three channels. Single channel was adopted in 63 patients, and the other 15 patients underwent multi-channel lithotripsy. 59 patients underwent MPCNL for one time, and 19 patients over one time. In first stage, 69 patients got stone clearance, the stone-free rate was 88.5%. The average operative time was 94.7min, the average blood loss was 58.4ml, and the average postoperative hospitalization time was 5.4d. All patients did not have serious operative complications. Conclusion MPCNL is a safe, highly effective, and reliable method for the treatment of complex renal calculi and has the advantages of minimal invasion, rapid recov- ery, high calculi clearance rate, less complications.
Keywords:MPCNL  Complex renal calculi
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