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摘要: 目的：探讨肾上盏通道经皮肾镜取石术治疗肾结石的安全性和疗效。方法：回顾性分析2008年6月~2012年5月采用肾上盏通道经皮肾镜取石术治疗的140例肾结石患者的临床及随访资料。结果：140例患者采用肾上盏通道经皮肾镜取石术治疗，平均手术时间（42±6） min；术中平均血红蛋白丢失量（8.2±2.5） g/L；一期净石率91.4%（128/140）；并发症发生率10.7%（15/140），其中术中穿刺失败、通道丢失或出血严重2例，胸膜损伤或（和）胸腔积液2例，肾盂或输尿管穿孔1例，术后出血2例，其中需要输血者1例，发热6例，尿外渗2例，无肾丢失或死亡患者；术后平均住院天数（7.5±1.2） d。结论：肾上盏通道经皮肾镜取石术治疗肾结石具有手术时间短、术中出血量少、净石率高、并发症发生率低、术后住院天数少等优点，是安全、有效的手术方法。Abstract: Objective: To investigate the safety and effect of percutaneous nephrolithotomy via upper kindey calyces channel in the management of patients with renal calculi Method: Between June 2008 and May 2012, 140 cases of patients with renal calculi were treated with percutaneous nephrolithotomy via upper calyce channel. Clinical data were analysed retrospectively and followed up for 3 to 36 months.Result: All 140 cases of patients with renal calculi were operated on successfully, the mean operating time was (42±6) minutes, blood loss was (8.2±2.5) g/L, the one-stage stone clear rate was 91.4%(128/140), the incidence of complication was 10.7%(15/140), failure of puncturation and loss of channel and severity blood loss were noted in 2 cases, injure of pleura 2 cases, perforation of pelvis or ureter 1 cases, blood loss after operation 2 cases, 1 cases needed blood transfusion, febricity 6 cases, urinous infiltration 2 cases, neither loss of kidney nor death occurred in this group. The mean postoperative hospital stay was (7.5±1.2) days.Conclusion: The present study demonstrated that in the treatment of renal calculi, percutaneous nephrolithotomy via upper calyce channel was safe and effective with the advantage of shorter operating time, less blood loss, high clear rate of stone, low incidence of complication, shorter hospital day.
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Key words:
- percutaneous nephrolithotomy /
- renal calculi /
- upper kindey calyces
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