Fanardzhian S V
Georgian Med News. 2010 Oct(187):7-12.
The aim of the study was to analyze the complications of percutaneous nephrolithotripsy (PCNL) in staghorn nephrolithiasis. The analysis revealed that in case of "full" staghorn stone risk of complications of percutaneous nephrolithotripsy raises twice in comparison with cases of "incomplete" staghorn stones. The choice of least invasive method at treatment of patients with staghorn nephrolithiasis is one of challenges in urological practice. Superiority began to belonged so-called, least invasive interventions - percutaneous nephrolithotripsy, extracorporal shock-wave lithotripsy and also combined ("sandwich" - therapy) methods. In connection with development of modern methods of visualization, complication of percutaneous treatment methods of staghorn nephrolithiasis decrease, and efficiency and possibilities of their use raise. The analysis revealed that in aspect of development of complications after percutaneous nephrolithotripsy presence of "full" staghorn stone plays defining role, raises risk of development of complications twice in comparison with patients with presence "incomplete" staghorn stones.
本研究的目的是分析鹿角形肾结石经皮肾镜取石术(PCNL)的并发症。分析显示,对于“完全性”鹿角形结石,经皮肾镜取石术的并发症风险比“不完全性”鹿角形结石的情况高出两倍。在鹿角形肾结石患者的治疗中选择侵入性最小的方法是泌尿外科实践中的挑战之一。所谓的侵入性最小的干预措施——经皮肾镜取石术、体外冲击波碎石术以及联合(“三明治”疗法)方法开始占据优势。随着现代可视化方法的发展,鹿角形肾结石经皮治疗方法的并发症减少,其使用的效率和可能性提高。分析显示,在经皮肾镜取石术后并发症的发生方面,“完全性”鹿角形结石起着决定性作用,与存在“不完全性”鹿角形结石的患者相比,并发症发生风险高出两倍。