经皮肾镜钬激光碎石术联合体外冲击波碎石术治疗复杂性肾结石46例

Treatment of 46 cases with complex renal calculi with holmium laser combined with extracorporeal shock wave lithotripsy by percutaneous nephroscope

摘要: 目的:观察经皮肾镜钬激光碎石术(mPCNL)联合体外冲击波碎石术(ESWL)治疗复杂性肾结石的临床疗效。方法:采用mPCNL联合ESWL治疗复杂性肾结石46例。结果:手术时间15～221 min, 住院时间10～21 d, 结石清除率97. 8%, 术中、术后均未出现感染性休克、周围脏器损伤等严重并发症。结论:mPCNL联合ESWL治疗复杂性肾结石具有高效、安全的特点, 结石清除率较高, 并发症少, 值得临床推广应用。

Abstract: Objective: To investigate the effects of holmium laser combined with extracorporeal shock wave lithotripsy(ESWL) by percutaneous nephroscope in treatment of complex renal calculi. Methods: Holmium laser combined with ESWL by percutaneous nephroscope were used to treat 46 cases with complex renal calculi. Results: The mean time of operation and hospital stays were 56 minutes(15-221 min) and 15. 7 days(10-21 d) , and stones clearance was 97. 8%. The severe complications of septic shock and surrounding organs injury were not found. Conclusions: The technology of treatment of complex renal calculi with holmium laser combined with ESWL lithotripsy by percutaneous nephroscope is effective and safe way. It is high clearance rate and less complications, and worthy of clinic application.