论文部分内容阅读
目的:探讨微创经皮肾镜取石术(MPCNL)治疗马蹄肾结石的可行性、安全性及有效性。方法:2008年11月~2013年6月采用MPCNL治疗马蹄肾结石患者9例11侧。结石直径平均2.1(1.1~3.1)cm。拔出输尿管支架管1个月后行彩超、腹部平片检查无残石或结石残块<3mm视为取石成功。结果:9侧肾结石一期碎石清石取得成功,1侧肾结石行二期手术,1侧肾结石术后结石直径较小,未做处理。9例患者术后均未出现大出血、邻近器官损伤等情况。结论:采用MPCNL治疗马蹄肾结石是一种安全、有效的手术方式。
Objective: To investigate the feasibility, safety and efficacy of minimally invasive percutaneous nephrolithotomy (MPCNL) in the treatment of horseshoe kidney stones. Methods: From November 2008 to June 2013, 9 patients with 11 cases of horseshoe kidney stones were treated with MPCNL. The average diameter of stones 2.1 (1.1 ~ 3.1) cm. Pull out the ureteral stent after 1 month line ultrasound, abdominal plain film examination without residual stones or stones <3mm residual stones as a successful stone. Results: The first stage lithotripsy of 9 renal calculi was successful. The second stage of renal calculi of 1 side was operated. The diameter of stone after 1 kidney side was smaller, and no treatment was done. None of the 9 patients experienced major bleeding or adjacent organ damage after surgery. Conclusion: MPCNL treatment of horseshoe kidney stones is a safe and effective surgical approach.