经皮肾镜取石术。泰格堡医院治疗肾及输尿管上段结石的经验。

Percutaneous nephrolithotomy. Experience with renal and proximal ureteral calculi at Tygerberg Hospital.

作者信息

van Niekerk L R, de Klerk D P, de Kock M L, Schmidt A C, Stockland B

机构信息

Department of Urology, University of Stellenbosch, Parowvallei, CP.

出版信息

S Afr Med J. 1988 Jan 9;73(1):5-8.

PMID:3277295

Abstract

Percutaneous nephrolithotomy (PCN) enables the urologist to remove upper urinary tract stones through a percutaneous nephrostomy tract. The principal advantages of PCN are the low morbidity, shortened hospital stay and rapid recovery. Percutaneous puncture failed in 5 (11%) of the first 44 patients with upper tract urolithiasis treated by PCN at Tygerberg Hospital. In 35 patients (80%) PCN cleared the kidney of stones but in 4 patients (9%) all stone fragments were not removed during the procedure. If the puncture and dilatation was successful, then 90% of patients were stone-free after PCN. Complications were minimal except for a diabetic who died of septicaemia. PCN is an alternative to open renal surgery in the management of most upper urinary tract stones. The technique is readily mastered by any urologist experienced in endoscopic surgery.

摘要

经皮肾镜取石术（PCN）使泌尿外科医生能够通过经皮肾造瘘通道取出上尿路结石。PCN的主要优点是发病率低、住院时间缩短和恢复快。在泰格堡医院接受PCN治疗的前44例上尿路结石患者中，有5例（11%）经皮穿刺失败。35例（80%）患者经PCN清除了肾脏结石，但4例（9%）患者在手术过程中未能清除所有结石碎片。如果穿刺和扩张成功，那么90%的患者在PCN术后无结石残留。除1例糖尿病患者死于败血症外，并发症极少。在大多数上尿路结石的治疗中，PCN是开放肾手术的一种替代方法。任何有内镜手术经验的泌尿外科医生都能轻松掌握该技术。