摘要
目的:总结超声引导下微创经皮肾镜取石术(MPCNL)在治疗肾结石中的应用。方法:分析我院2009年6月～2010年6月经皮肾穿刺治疗198例复杂性肾结石患者的临床资料,并对手术并发症和处理措施进行分析。结果:本组患者均治愈出院,无一例死亡,发生并发症7例,其中大出血2例,胸腔积液2例,结肠穿孔1例,发热1例,腹腔积液1例。结论:MPCNL虽属微创手术,是治疗肾结石的有效方法,成功率高,操作简单,患者创伤小,安全;但术中大出血、残留结石、术后感染是PCNL较常见并发症。开展此项技术时加强并发症的防治至关重要。
Objective：To summarize the Irealment effect of kidney calculi treating by minimally invasive percutaneons nephrolithotomy. Methods： Analyze the clinical data of 198 cases kidney calculi patients m our hospital in 2009.6-2010.6,and analyze the surgical complications and treatment measures.Results：The patients were cured,no deaths.7 cases occurred complications,massive hemorrhage 2 cases, pleural effusion 2 cases,colon perforation 1 cases,fever 1 cases, ascites lcases.Conclusions：MPCNL is minimally invasive, is effective method for the treatment of kidney calculi,high success rate,simple operation,patients with trauma and safety.But hemorrhage, residual stones, postoperative infections are common complications of PCNL.Carried out when the technology is essential to strengthen the prevention of complications.
出处
《中国医药导刊》
2010年第8期1336-1337,共2页
Chinese Journal of Medicinal Guide
关键词
经皮肾镜超声碎石术
肾结石
疗效
Invasive percutaneous nephrolithotomy
Kidney calculi
Treatment effect
