不同路径微创经皮肾取石术治疗肾上盏结石

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1、不同路径微创经皮肾取石术治疗肾上盏结石作者：袁坚，雷鸣，王露萍，刘冠昭，罗金泰，刘永达，叶政【关键词】肾；结石；手术　　Minimallyinvasivepercutaneousnephrolithotomywithdifferentpathwaysintreatmentofuppercalyxcalculi(reportof64cases)　　ABSTRACT:ObjectiveTosummarizeexperienceandimprovetheleveloftreatinguppercalyxcalculiwithminimallyinvasivepercutaneousnephrol

2、ithotomy(MPCNL).Methods64patientsunderwentminimallyinvasivepercutaneousnephrolithotomy.Theoperativeapproach,effectandmaincomplicationsweresummarizedretrospectivelly.Results43patientsunderwentmiddlecalyxnephrostome,thestonefreeratebeing88.4%;7patientslowercalyxnephrostome,thestonefreeratebeing85.7%

3、;14patientsuppercalyxnephrostome,thestonefreeratebeing78.6%;1patientwith10thsubocostalanduppercalyxnephrostomy,sufferedfromlighthydrothoraxafterthenephrostomytubewaspulledouton6thdaypostoperation.8不同路径微创经皮肾取石术治疗肾上盏结石作者：袁坚，雷鸣，王露萍，刘冠昭，罗金泰，刘永达，叶政【关键词】肾；结石；手术　　Minimallyinvasivepercutaneousnephrolithot

4、omywithdifferentpathwaysintreatmentofuppercalyxcalculi(reportof64cases)　　ABSTRACT:ObjectiveTosummarizeexperienceandimprovetheleveloftreatinguppercalyxcalculiwithminimallyinvasivepercutaneousnephrolithotomy(MPCNL).Methods64patientsunderwentminimallyinvasivepercutaneousnephrolithotomy.Theoperativeap

5、proach,effectandmaincomplicationsweresummarizedretrospectivelly.Results43patientsunderwentmiddlecalyxnephrostome,thestonefreeratebeing88.4%;7patientslowercalyxnephrostome,thestonefreeratebeing85.7%;14patientsuppercalyxnephrostome,thestonefreeratebeing78.6%;1patientwith10thsubocostalanduppercalyxne

6、phrostomy,sufferedfromlighthydrothoraxafterthenephrostomytubewaspulledouton6thdaypostoperation.8Noneofthepatientssufferedfromseverehaemorrhageorneededtransfusion.ConclusionChosingappropriatepathwayofMPCNLaccordingtothesize,shape,siteoftheuppercalyxcalculiandtheanatomyconstructionofkidneycollecting

7、system,canimprovetheefficacyanddecreasecomplications.　　KEYWORDS:renal;calculi;operation　　摘要：目的总结提高微创经皮肾取石术治疗肾上盏结石的水平。方法回顾性总结64例肾上盏结石患者接受微创经皮肾取石的手术路径、效果和主要并发症。结果肾中盏穿刺入路43例，结石清除率为88.4%；下盏穿刺入路7例，结石清除率为85.7%；上盏穿刺入路为1