微创经皮肾镜取石术治疗马蹄肾结石.docVIP

微创经皮肾镜取石术治疗马蹄肾结石[摘要] 目的 观察微创经皮肾镜取石术治疗马蹄肾结石临床效果。方法 回顾性分析在2005年6月～2009年6月期间12例由KUB加 IVU及CT确诊,接受微创经皮肾穿刺取石术治疗马蹄肾结石患者的临床资料。结果 12例均一次成功建立通道。穿刺时间12～23min,平均14min。手术时间50～120min,平均65min。术中出血24～105mL,平均40mL,均未输血。本组结石一期清除率为83.3%(10/12),2例需要二次取石,术中无需要输血患者,未出现严重并发症,平均住院天数7d,随访 2～24个月,12例肾积水均有不同程度好转,结石取净者未见结石复发。结论 微创经皮肾镜取石术治疗马蹄肾结石效果确切、创伤较小,术后并发症少,具有广泛应用价值。 [关键词] 微创经皮肾镜取石术;肾结石;马蹄肾 [中图分类号] R692.4[文献标识码] A[文章编号] 1673-9701(2010)10-29-02 Minimally Invasive Percutaneous Nephrolithotomy Lithotripsy for Marty Kidney Stones GAO Zhiyong Department of Urology,the Third People’s Hospital of Yongzhou City,Yongzhou 425000,China [Abstract] Objective To observe the clinical effects of minimally invasive percutaneous nephrolithotomy lithotripsy in the treatment of Marty kidney stones. Methods A retrospective analysis was made of 12 cases of Marty kidney stones from June 2000 to June 2007 diagnosed by KUB plus IVU and CT and received the minimally invasive percutaneous treatment of renal puncture. Results A channel was successfully established in 12 cases,and puncture time 12 to 23 min,with an average of 14 min. Operative time was 43 to 185 min,with an average of 93.5 min,and bleeding 24 to 105mL,an average of 40mL,with none of blood transfusion. A stone clearance rate was 83.3%(10/12),the second stone taking was needed in 2 cases,no cases needed for blood transfusion in surgery,with no serious complications,and average hospitalization stay was 21 days,with a followed up of 2 to 24 months,varying degree of hydronephrosis was improved in 12 cases,and after stones were removed,there was no stone recurrence. Conclusion Minimally invasive percutaneous nephrolithotomy lithotripsy for Marty kidney stones shows precise effect,less trauma and fewer post-operative complications,worthy of wide application. [Key words] Minimally invasive percutaneous nephrolithotomy lithotomy;Kidney stones;Marty kidney 马蹄肾是少见的先天性肾脏发育异常,常伴肾结石等合并症[1]。本文回顾性分析在2005年6月～2009年6月期间12例由KUB加IVU及CT确诊,接受微创经皮肾穿刺取石