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目的探讨分析微创经皮肾穿刺取石术治疗上尿路结石的临床效果。方法选取于2010年1月至2011年1月在我院就诊的70例接受mPCNL手术的患者,对其进行微创经皮肾穿刺术。统计平均手术时间、术中出血量、平均住院时间、术后复发等数据,并记录手术中出现的任何并发症。结果 70例患者均成功实施一期取石,其中一次性取净结石为64例,二次取净结石为5例,三次取净结石率为1例,结石总取净率为100%;70例患者平均手术时间为127.8min,肾造瘘管留置平均为4.6d,平均住院时间为8.7d,手术中平均出血量为74.1ml,手术时未发生严重并发症,手术后1年内对患者进行随访,未发现任何复发现象。结论 mPCNL临床效果良好,值得推广。
Objective To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy in upper urinary tract calculi. Methods Seventy patients undergoing mPCNL surgery in our hospital from January 2010 to January 2011 were selected and treated with minimally invasive percutaneous nephrolithotomy. Statistical average operation time, intraoperative blood loss, average length of stay, postoperative recurrence and other data, and record any complications occurred during the operation. Results All the 70 patients were successfully performed the first stage of stone removal. Among them, 64 cases were taken out of the stones in one time, 5 cases were taken out of the stones in the second place, 1 was taken out of the stones in the third place, the total recovery rate was 100% The average operation time of patients was 127.8min, the average diameter of renal fistula was 4.6d, the average hospitalization time was 8.7d, the average amount of bleeding during operation was 74.1ml. There was no serious complications during operation. Patients were followed up within 1 year after operation, No recurrence was found. Conclusion The clinical effect of mPCNL is good and worth promoting.