Tan H M, Cheung H S
Subang Jaya Medical Centre, Selangor.
Med J Malaysia. 1990 Jun;45(2):118-22.
Sixty eight consecutive cases of percutaneous renal surgery, percutaneous nephrolithotripsy (PCNL), were performed on 64 patients (male-41, female-23) at the Subang Jaya Medical Centre from April 1988 to July 1989. All the cases were done as a one stage procedure. Fifty eight stones were large renal or staghorn and ten were ureteric. Thirty cases (41%) were stone free after PCNL alone. Thirty eight cases had residual fragments needing extracorporeal shockwave lithotripsy (ESWL). Mean operating time was 109.6 +/- 36.0 minutes. Mean hospital stay was 4.5 +/- 1.8 days. At three months follow-up, 86% of the cases were stone free. The remaining had residual sand (less than 3mm). Minor complications occurred in six patients. None required major surgical intervention post PCNL.
1988年4月至1989年7月期间，在梳邦再也医疗中心对64例患者（男41例，女23例）连续实施了68例经皮肾手术——经皮肾镜取石术（PCNL）。所有病例均为一期手术。其中58例为巨大肾结石或鹿角形结石，10例为输尿管结石。仅行PCNL术后，30例（41%）结石清除。38例有残余结石碎片，需要体外冲击波碎石术（ESWL）。平均手术时间为109.6±36.0分钟。平均住院时间为4.5±1.8天。在3个月的随访中，86%的病例结石清除。其余患者有残余沙粒（小于3mm）。6例患者出现轻微并发症。PCNL术后均无需进行重大手术干预。
