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目的:探讨微创经皮肾镜碎石术(MPCNL)治疗肾盏憩室结石的可行性与有效性。方法:回顾性分析2011年3月~2013年3月应用MPCNL治疗肾盏憩室结石患者58例的临床资料:采用C臂X线机辅助穿刺建立经皮肾通道,应用气压弹道碎石并取出,同时术中视具体情况采用电凝憩室囊壁或扩张憩室盏颈。结果:手术时间(107±43)min,一次性取尽无残石49例,占84.5%。平均住院7天,出院时症状缓解53例,症状减轻5例。结论:MPCNL治疗合并临床症状的肾盏憩室结石疗效确切,创伤小,恢复快,可反复操作,可作为临床选择的治疗方式之一。
Objective: To investigate the feasibility and effectiveness of minimally invasive percutaneous nephrolithotomy (MPCNL) in the treatment of calyceal diverticula calculus. Methods: The clinical data of 58 patients with calyceal diverticula calculus treated with MPCNL from March 2011 to March 2013 were retrospectively analyzed. Percutaneous renal access was established by C-arm X-ray assisted puncture. Pneumatic lithotripsy was applied and removed. At the same time, according to the specific circumstances of coagulation diverticulum wall or dilated diverticula neck. Results: In the operation time (107 ± 43) min, there were 49 cases (84.5%) without any residual stones. The average hospitalization for 7 days, 53 cases of symptoms relieved at discharge, symptoms reduced in 5 cases. Conclusion: The therapeutic effect of MPCNL on calyceal diverticula calculus with clinical symptoms is small, with less trauma and faster recovery. It can be used repeatedly and can be used as one of the clinical treatment options.