标准通道联合微通道经皮肾镜一期治疗鹿角形肾结石

目的 探讨标准通道联合微通道经皮肾镜一期治疗鹿角形肾结石的安全性和有效性。方法 2007年8月至2010年1月，采用标准通道联合微通道经皮肾镜一期治疗82例鹿角形肾结石。结果 82例均一期手术碎石。无严重并发症发生。手术时间45～190 min(平均85 min)，术中出血50～400 ml（平均95ml），术后住院时间 6～12 d（平均7.5d）。结石清除率90.2％ (74/82)，5例残余结石直径0.6 cm～1.0 cm，行体外冲击波碎石治疗，3例残余结石直径＜0.6 cm，口服药物排石。82例均随访3个月，复查彩色超声仅1例残留直径约0.7 cm肾下盏结石。结论 彩色超声引导下标准通道联合微通道经皮肾镜一期治疗鹿角形肾结石创伤较小，残石率低，效率高，安全可行。

Standard percutaneous nephrolithotomy combined with mini.percutaneous nephrolithotomy in the one-stage treatment of staghorn renal calculi

Objective To discuss the safety and efficiency of color ultrasound guided standard percutaneous nephrolithotomy combined with min-percutaneous nephrolithotomy in the one-stage treatment of staghorn renal calculi. Methods Eighty-two patients with stag horn renal calculi were treated by color ultrasound guided standard percutaneous nephrolithotomy combined with min-percutaneous nephrolithotomy from August 2007 to January 2010.Results The operations of all 82 patients were successful. The operation time ranged from 45 to 190minutes (mean, 85 minutes), the blood loss ranged from 50 to 400ml (mean,95ml) and the post-operation hospital stay ranged from 6 to 12 days( mean ,7.5 days). The clearance rate of stone in one stage was 90.2％ ( 74/82), 82 patients were followed up for 3 months and only one stone was found by color uhrasonography. Conclusion Color ultrasound guided standard percutaneous nephrolithotomy combined with min-percutaneous ephrolithotomy in the onestage treatment of staghorn renal calculi has the advantages of minimal invasion, high stone clearance rate,high efficiency few complication and safety.