微创经皮肾取石术结合软式输尿管镜治疗肾鹿角形结石34例报告

目的:探讨微创经皮肾取石术(mPCNL)结合软式输尿管镜治疗肾鹿角形结石的临床疗效。方法:回顾分析2010年1月～2011年1月应用mPCNL结合软式输尿管镜治疗肾鹿角形结石患者34例,所有患者均行F18通道取石,其中单通道19例,双通道15例。结果:34例患者,19例单通道一期和分期mPCNL共26次;15例双通道一期和分期mPCNL共21次。平均手术时间130min;平均失血量120ml,4例需要输血,1例术后大出血,行超选择性肾动脉栓塞术。结石清除率85.3%(29/34)。结论:微创经皮肾取石术结合软式输尿管镜可减少穿刺通道和增加结石清除率。

Simultaneous combined use of minimally invasive percutaneous nephrolithotomy and flexible ureteroscopy for the treatment of the staghorn calculus(Report of 34 cases)

Objective:To investigate the clinical efficacy of the minimally invasive percutaneous nephrolithotomy combined use of flexible ureteroscopy for the treatment of the staghorn calculi.Methods:Form January 2010 to January 2011,the procedure was performed in 34 patients with staghorn calculus.All patients were treated in F18 puncture channel percutenous nephrolithotomy,of which 19 cases treated in single-channel,15 cases in dual-channel.The clinical data on perioperative parameters were analyzed retrospectively.Results:In 34 patients,there were 19 cases using one and multi stages mPCNL in single channel,which was a total of 26 times,15 cases using one and multi stages mPCNL in dual-channel,which was a total of 21 times.The average operative time was120 minutes and blood loss was 120 ml.Four patients required blood transfusion.Only 1 patient need superselective renal embolization because of large hemorrhea post-operation.The stone-free rate was 85.3%(29/34).Conclusions:MPCNL combined use of flexible ureteroscopy,which can reduce the number of access tracts and increase stone-free rates in the treatment of staghorn calculi.