摘要
目的 探讨微通道（16∽18 F）经皮肾镜碎石术联合取石网篮治疗复杂性肾结石的疗效及安全性。方法 回顾性分析广州市番禺区第二人民医院2012年11月至2015年3月收治的45例复杂性肾结石患者,行16∽18 F通道经皮肾镜碎石术联合取石网篮治疗,其中男性26例,女性19例,年龄24∽67岁,平均年龄41岁。结果 45例均获得手术成功,手术时间36∽84 min,平均57 min,住院时间6∽12 d,平均7.5 d。术后泌尿系统感染2例,发生率4.4%,无败血症病例发生;血尿4例,发生率8.9%,血尿均术后1周内消失,无因手术导致贫血或输血病例;结石残留3例,结石取净率93.3%;无术中术后大出血或重要器官损伤。结论 微通道16∽18 F经皮肾镜碎石术联合取石网篮在治疗复杂性肾结石术中可缩短手术时间,减少肾集合系统损伤及术后发热、感染等并发症发生率,提高结石清除率,具有临床应用价值。
Objective To evaluate the effect of 16-18 F minimally invasive percutaneous nephrolithotomy with reticular basket for treating complicated renal calculi. Methods The clinical data of 45 cases with complicated renal calculus who received minimally invasive percutaneous nephrolithotomy （16-18 F） with the reticular basket in the Second Hospital of Panyul fi＇om November 2012 to March 2015 （men 26,women 19, age rangde from 24 to 67 years）were retrospectively analyzed. Results All the 45 operations were performed successfully. The operative time was 36-- 84 min（average, 57 min）. The hospital stay was 6 - 12 d （average, 7.5 d）. Urinary tract infection after operation was recorded in 2 patients （4.4%）, hematuria was happened in 4 patients （8.9%）, residual stones was detected in 3 patients and the rate of complete stone removal 93.3%. No massive hemorrhage or vital organs occurred during and after the operations. Conclusions 16-18 F Minimally invasive percutaneous nephrolithotomy with the reticular basket for treating complicated renal calculi is worthy of shortening the operation time,increasing the rate of complete stone removal, and decreasing the chances of renal collecting system injure and urinary tract infection.
出处
《中华腔镜泌尿外科杂志（电子版）》
2015年第3期26-28,共3页
Chinese Journal of Endourology(Electronic Edition)
基金
广州市番禺区科技计划项目(2014-203-38)
关键词
微通道
肾造口术
经皮
取石网篮
肾结石
Minimal tract
Percutaneous nephrolithotomy
Reticular basket
Renal calculi
