斜仰卧截石位单通道经皮肾镜联合经皮软镜治疗复杂肾结石的疗效观察

Clinical effect of oblique supine lithotomy single-access percutaneous nephrolithotomy combined with FURS in treatment of complex kidney stones

摘要:

目的??观察斜仰卧截石位单通道经皮硬性肾镜联合经皮肾软镜治疗复杂上尿路结石的临床效果。方法?2013年5月-2016年1月于该院住院的肾多发结石及鹿角状结石患者，其中40例行斜仰卧截石位球囊扩张建立标准通道，单通道经皮硬镜与经皮软镜联合碎石，分析患者临床资料，包括手术时间，出血量、结石清石率、住院时间和手术并发症发生情况等指标。结果?该组患者均I期单通道顺利实施手术，手术中位时间52.5 min，结石清石率100%、手术前后出血量变化无差异，患者无需输血，随访3～6个月，无明显手术并发症发生。结论?斜仰卧截石位单通道经皮硬镜联合经皮软镜治疗复杂肾结石，可提高结石清除率，增加患者术中舒适感，避免多通道对肾脏的损伤，手术时间短，治疗效果明显。

Abstract:

Objective?To observe the clinical effect of oblique supine lithotomy position rigid single-access percutaneous nephrolithotomy combined with FURS in treatment of complex urinary tract stones.?Methods?From May 2013 to January 2016, 40 cases of multiple kidney stones and staghorn calculi patients underwent oblique supine lithotomy position balloon establish standard single renal access, using percutaneous percutaneous combind with FURS, clinical data of patients, including operative time, blood loss, stone stone clearance rate, hospitalstay, incidence of complications and other indicators.?Results?The patients were successfully implemented Phase I single-access surgery, the median time 52.5 min, stone stone clearance rate of 100%, before and after surgery no difference in the amount of bleeding, no blood transfusion patients, followed up for 3 months to six months, no significant concurrent operation disease.?Conclusion?Oblique supine lithotomy bit single-access percutaneous percutaneous combined with FURS treatment of complex renal calculi can improve stone clearance rate, increased patient comfort during surgery to avoid damage to the kidneys multi-channel, shorter operative time, treatment obvious.