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【摘要】 目的： 探讨经皮肾穿刺微造瘘 (miniPCNL)治疗复杂性肾结石的安全性及有效性。方法：采用经皮肾穿刺微造瘘输尿管镜双频双脉冲(U100) 激光碎石术治疗复杂性肾结石35例。结果：23例结石一次取净，6例结石二次取净，4例结合体外震波碎石排净，2例有少量结石残留。结论：经皮肾穿刺微造瘘结合U100激光碎石术治疗肾结石具有创伤小、安全有效、恢复快、痛苦少的优点,是治疗复杂性肾结石的良好方法之一。
【关键词】 肾结石 经皮肾微造瘘碎石术 双频双脉冲激光
Minimally invasive percutaneous nephrolithotomy with the frequency doubleddouble pulse laser in treatment of complicated renal stone(report of 35 cases)
ZHANG Yu, WANG Qing, NI Zechen, et al
(Department of Urology, The People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China)
Abstract : Objective: To evaluate the effect and safe of minimally invasive percutaneous nephrolithotomy (MPCNL) with the frequencydoubleddouble pulse laser in the treatment of complex kidney calculi. Methods: Thirtyfive cases with complex kidney calcul were treated with MPCNL and frequencydoubleddouble pulse laser. Results: The stones were cleared off at one section in 23 cases ,two sections in 6 and 4 cases were cured by ESWL after two sections, 2 cases had a residual stone. Conclusions: MPCNL with the frequencydoubleddouble pulse laser is less invasive, effective and safe in treatment of complicated renal stone.
Key words： renal stone; minimally invasive percutaneous nephrolithotomy; frequencydoubleddoublepulse laser
复杂性肾结石包括多发性、鹿角形、蹄铁形、孤立肾和大于2.5 cm 的肾结石。以往这些复杂性肾结石的治疗方法是开放性手术结合体外冲击波碎石术(ESWL),手术难度大或需反复多次行ESWL ,并且行肾实质切开取石术会造成术后肾实质萎缩和肾功能损害等。近年来随着经皮肾微造瘘碎石取石术(minimally invasive percutaneous nephrolithotomy, MPCNL) 的发展，逐渐取代了传统的开放手术[1], 成为肾结石的主要治疗手段, 但对复杂性肾结石的治疗仍非常棘手。2005年4月～2008年8月我院采用经皮肾穿刺微造瘘输尿管镜双频双脉冲(U100) 激光碎石术治疗复杂性肾结石35例,效果满意,现报告如下医.学全.在.线网站www.lindalemus.com。
