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经皮肾穿刺微造瘘输尿管镜取石术治疗马蹄肾结石(附4例报告)

Treatment of calculi within horseshoe kidneys with minimally invasive percutaneous nephrolithotomy(a report of 4 cases)
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摘要 目的探讨经皮肾穿刺微造瘘输尿管镜取石术治疗马蹄肾结石的可行性与效果。方法回顾性分析在2005年1月~2008年2月期间接受经皮肾穿刺微造瘘输尿管镜取石术治疗的4例马蹄肾结石患者的疗效及并发症。结果本组结石一期清除率为75%(3/4),1例需要二期取石。所有患者均为中盏单通道取石。平均手术时间120min,术中平均出血量100mL,平均住院天数14.5d,无需要输血患者,无大的并发症。结论经皮肾穿刺微造瘘输尿管镜取石术是治疗马蹄肾结石安全有效的方法。 Objective To investigate the feasibility and effect of minimally invasive percutaneous nephrolithotomy (MPCNL) in treating calculi within horseshoe kidney. Methods This paper reviewed retrospectively the outcome and complications of 4 patients who underwent MPCNL for calculi within horseshoe kidneys from January 2005 to February 2008. Results In those 4 cases, 75% (3/4) of them were stone free after 1 session. And 1 case needed a second session. Nephrolithotomy through an middle calyx was conducted in all patients. The average operative time was 120 minutes, blood loss volume 100 mL, average hospitalization stay 14.5 days. Blood transfusion was not needed and major complications were not found. Conclusion Minimally invasive percutaneous nephrolithotomy is safe and effective in treating calculi within horseshoe kidney.
出处 《现代泌尿外科杂志》 CAS 2008年第6期429-431,共3页 Journal of Modern Urology
基金 新疆建设兵团政策引导类科技计划项目(No.2007YD26)
关键词 经皮肾穿刺微造瘘输尿管镜取石术 马蹄肾 肾结石 percutaneous nephrolithotomy horseshoe kidney calculi
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