F22通道联合超微经皮肾镜治疗鹿角形肾结石的临床分析
A clinical analysis of treatment for renal staghorn calculi by F22 channel combined with super-micro percutaneous nephrolithomy
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摘要: 目的 探讨F22通道联合超微经皮肾镜治疗鹿角形肾结石的安全性及其疗效。方法 回顾分析2014年1月-2018年2月我院采用F22通道联合超微经皮肾镜治疗鹿角形肾结石29例的临床资料。结石直径2.5-5.9cm，平均(4.15±0.21)cm。术后5天复查CT和腹部平片，如有结石＞4mm，则二期再次超微经皮肾镜处理。结果 所有病例均顺利完成手术，一期无石率89.7%（26/29），一期手术时间86-194min，平均（112.6±25.3）min。一期出血85-420ml，平均（181.6±42.4）ml，无输血病例。双通道手术24例，三通道手术2例。术后无气胸、严重出血以及感染。一期术后住院时间5-7天。 结论F22通道联合超微经皮肾镜治疗鹿角形肾结石，具有安全，康复快，结石清除率高等优点。Abstract: Objective To investigate the safety and efficacy of F22 channel combined with super-micro percutaneous nephrolithomy（PCNL） in the treatment of staghorn calculi．Methods A total of 29 cases with staghorn calculi，who were treated by F22 channel combined with super-micro percutaneous nephrolithomy，were reviewed retrospectively from January 2014 to Feb 2018．The calculi ranged from 2.5 to 5.9cm and the mean size was (4.15±0.21)cm．KUB and CT scan were performed at the fifth day postoperatively．If the residual stone fragments were larger than 4 mm，the second stage super-micro percutaneous nephrolithomy were performed．Results All 29 patients succeed in operation．The stone free rate was 89.7%（26/29） at one-stage．The operation time for one-stage procedure was 86-194 min and the mean time was（112.6±15.3）min．The blood loss was 85-420 ml average（181.6±42.4）ml during the one stage．No patients needed blood transfusion．24 cases were performed with two channel while 2 cases were treated with three channel．There were no pneumothorax、severe hemorrhage and seriously infection．The hospital stay after operation were 5-7 days during the one stage．Conclusions F22 channel combined with super-micro percutaneous nephrolithomy for renal staghorn calculi have the advantage of safety，rapid recovery，higher calculi clearance．
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