侧卧位经皮肾微造瘘输尿管镜下取石治疗上尿路结石56例报道

目的:探讨侧卧位施行经皮肾微造瘘输尿管镜下取石(MPCNL)治疗上尿路结石方法及疗效。方法:回顾分析56例上尿路结石侧卧位施行PCNL治疗的临床资料,其中肾铸形结石33例,输尿管上段结石23例。结果:56例均手术成功,无穿刺失败或中转开放手术。一次结石取净率80%,两次手术合计达96%。术中均无输血,无肠道损伤等并发症。结论:侧卧位施行MPCNL手术患者易耐受,手术更安全,术中碎石易排出。效果良好。

Application of Micronephrostomy Percutaneous Nephrolithotomy in Lateral Position in Treatment of Upper Urinary Calculi

Objective:To investigate a new therapy to treat upper urinary calculi through performing Micronephrostomy Percutaneous Nephrolithotomy(MPCN) in lateral position.Methods:56 cases of upper urinary calculi(UUC),including 33 multiple renal calculi and 23 upper-ureteral calculi,were performed Micronephrostomy Percutaneous Nephrolithotomy (MPCN).Their clinical data were analyzed.Results:The total extraction rate of calculi primarily (80%) and secondarily (16%) reached to 96%.No transfusion was needed during the operation.No postoperative complication was observed.Conclusion:MPCN in lateral position is tolerable to patients with UUC,which is safer,with better effect,and helpful for removing calculi during operation.