| 摘要: |
| 目的探讨24F通道无管化经皮肾镜取石术(PCNL)治疗上尿路结石的可行性和适应症。方法回顾性分析我院2012年3月至2016年12月182例24F通道的无管化PCNL。单纯肾结石97例(53.3%),单纯输尿管上段结石32例(17.6%),肾结石合并输尿管上段结石53例(29.1%)。结果平均手术时间(35.5±18.2)min,术后第1d血红蛋白下降(10.3±5.4)g/L,术后平均住院时间(4.3±1.6)d。11例(6.0%)出现肾绞痛,14例(7.7%)使用止痛药,10例(5.5%)发热,4例(2.2%)出现肾周血肿,1例(0.5%)见残余结石,并发症给予对症处理后均好转。结论 24F通道无管化经皮肾镜取石术在上尿路结石治疗中是一种安全、有效、微创的手术,但需掌握适应症,同时术者必须具备丰富的经皮肾经验。 |
| 关键词: F24通道 无管化 经皮肾 上尿路结石 并发症 |
| DOI： |
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| Tubeless Percutaneous Nephrolithotomy by F24 Channel in the Treatment of Upper Urinary Tract Calculi |
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Wang Ling;Zheng Xiaomin;Lei Yi;
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Panzhihua Central Hospital of Sichuan Province
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| Abstract: |
| Objective To investigate the feasibility and indications of tubeless percutaneous nephrolithotomy by F24 channel in the treatment of upper urinary tract calculi.Methods A retrospective analysis of 182 cases of PCNLwithout catheter by F24 channelsin our hospital from March 2012 to December 2016 was performed.There were 97 cases( 53. 3%) of simple renal calculi,32 cases of simple upper ureteral calculi( 17. 6%),53 cases( 29. 1%) of renal calculi complicated with upper ureteral calculi.Results Mean operative time( 35. 5±18. 2) min,hemoglobin decreased( 10. 3±5. 4) g/L on postoperative day 1,and mean hospital stay( 4. 3±1. 6) days after operation.11 cases( 6%) occurred renal colic,14 cases( 7. 7%) used painkillers,10 cases fevered( 5. 5%),4 cases( 2. 2%) appeared peri renal hematoma,and residual stones were found in 1 cases( 0. 5%).Complications were improvedafter symptomatic treatment.Conclusion Tubeless percutaneous nephrolithotomy by F24 channel is a safe,effective and minimally invasive procedure for the treatment of upper urinary tract calculi,but the indications must be mastered and the surgical candidates must have extensive experience in percutaneous renal surgery. |
| Key words: F24channel tubeless percutaneousnephrolithotomy upperurinarycalculi complications |
