Corbel L, Guillé F, Cipolla B, Staerman F, Leveque J M, Lobel B
Service d'Urologie, CHR de Rennes.
Prog Urol. 1993 Aug-Sep;3(4):658-65.
Percutaneous nephrolithotomy (PCNL) has radically changed the treatment of renal stones. The indications for this technique have been modified by the development and refinement of extracorporeal lithotripsy (ECL). The authors present their experience of 390 PCNL performed between 1984 and 1991, for solitary stones in 75% of cases. There were only 11 cases of failed puncture (3.8%). The overall morbidity was 18% with only 4.4% of major complications, i.e. life threatening or requiring reoperation. There were two deaths (0.5%). Stones were completely eliminated in 80.25% of patients, after a second operation (PCNL or other technique) in 32 cases (11%). 45 staghorn calculi were treated with 11% of complications and a 51% complete cure rate. The mean hospital stay was 6 days (2 to 30). PCNL is a safe and reliable technique. Its indications have decreased (6.5% of our patients treated for renal stones), but it still retains a place in the therapeutic approach to patients with renal stones.
经皮肾镜取石术（PCNL）彻底改变了肾结石的治疗方式。体外冲击波碎石术（ECL）的发展与完善改变了该技术的适应证。作者介绍了他们在1984年至1991年间进行390例PCNL的经验，其中75%的病例为单发结石。穿刺失败仅11例（3.8%）。总体发病率为18%，严重并发症仅4.4%，即危及生命或需要再次手术。有2例死亡（0.5%）。80.25%的患者结石完全清除，32例（11%）患者需二次手术（PCNL或其他技术）。45例鹿角形结石接受治疗，并发症发生率为11%，结石完全清除率为51%。平均住院时间为6天（2至30天）。PCNL是一种安全可靠的技术。其适应证有所减少（我们治疗的肾结石患者中6.5%），但在肾结石患者的治疗方法中仍占有一席之地。
