超声引导下微创经皮肾镜治疗复发性肾结石.docVIP

超声引导下微创经皮肾镜治疗复发性肾结石 　　[摘要] 目的 探讨超声引导下微创经皮肾镜治疗复发性肾结石的可行性和疗效。方法 回顾性分析50例采用超声波引导下MPCNL治疗复发性肾结石的资料，病例当中全鹿角状结石21例，部分鹿状结石19例，多发性结石10例。结果 50例手术均成功，手术进行时间平均为120 min，43例一期MPCNL取净结石（86%），5例进行二期MPCNL后，结石清除率达到96%，无术后出血，更无其余脏器损伤，其余经保守治疗均成功治愈，治愈率达100%。结论 超声引导下微创经皮肾镜治疗复发性肾结石创伤少，肾结石清除率高，恢复快，复发率低，可以作为治疗复发性肾结石的首选方法。 [关键词] 超声波；经皮肾镜；复发性肾结石 [中图分类号] R693.4 [文献标识码] B [文章编号] 2095-0616（2013）13-205-02 Treatment of renal calculi with minimally invasive percutaneous nephrolithotomy under the guide of B ultrasound LI Hongbo The First Department of Surgery，Affiliated Lianjiang Hospital of Guangdong Medical College，Lianjiang 524400，China [Abstract] Objective To evaluate the feasibility and efficacy of minim ally invasive percutaneous nephrolithotomy （MPCNL） under the guide of B ultrasound in treating renal calculi. Methods The data of 50 patients with renal calculi who had undergone MPCNL were retrospectively analyzed.Fifty patients with renal calculi（21 cases with complete staghorn calculi，19 cases with partial staghorn calculi and 10 cases with multiple renal calculi） were treated by MPCNL. Results All operations were successful and the mean operating time was 120 minutes.43 cases（86.0%） were rendered stone free after the first session，5 cases had a second- look MPCNL and the clearance reached 96.0%.No blood transfusion was needed after operation and even no viscera injuried. The rest of the patients were successfully cured with conservative treatment.The cure rate reached 100%. Conclusion Treatment of renal calculi with MPCNL under the guide of B ultrasound is an effective and feasible therapeutic option for patients with recidivity renal calculi，its advantages of less invasiveness and complications， higher clearance rate and shorter duration for hospitalization.Therefore it may be chosen as the first choice for treatment of patients with renal calculi. [Key words] B ultrasound；Invasive percutaneous nephrolithotomy；Recidivity renal calculi 近年来，肾结石在我国的病例呈不断上升的趋势，治疗肾结石尤其