Le Duc A, Lombard M, Teillac P, Le Doze H, Baron J C, Cortesse A
Ann Urol (Paris). 1986;20(6):376-80.
The authors report their experience of percutaneous nephrolithotomy over a period of three years. The analysis of the first 250 cases performed reveals a low morbidity, with serious complications in 1% of cases, and an acceptable complete success rate of 83%. The indications for percutaneous nephrolithotomy have been modified since the opening of an extracorporeal lithotripsy unit. The choice between the two techniques depends on their efficacy and their expected morbidity based on four criteria: the volume, chemical composition and site of the stone and the morphology of the upper urinary tract. Percutaneous nephrolithotomy is the treatment of choice for large stones (greater than 2.5 cm), hard stones or those formed proximally to a stenotic lesion of the urinary tract, which can then be dilated at the same procedure. A combination of the two methods is sometimes uses to treat staghorn calculi with a success rate of 80%. On the other hand, very large staghorn calculi with caliceal branches are best treated by open surgery.
作者报告了他们三年来经皮肾镜取石术的经验。对最初实施的250例病例的分析显示，发病率较低，严重并发症发生率为1%，可接受的完全成功率为83%。自体外冲击波碎石治疗单元启用以来，经皮肾镜取石术的适应症有所改变。两种技术之间的选择取决于它们的疗效以及基于四个标准的预期发病率：结石的体积、化学成分、部位以及上尿路的形态。经皮肾镜取石术是治疗大结石（大于2.5厘米）、坚硬结石或位于尿路狭窄病变近端形成的结石的首选方法，这些结石随后可在同一手术过程中进行扩张。有时会联合使用这两种方法治疗鹿角形结石，成功率为80%。另一方面，伴有肾盏分支的非常大的鹿角形结石最好通过开放手术治疗。
