Percutaneous nephrolithotomy for staghorn nephrolithiasis

李龙坤; 宋彩萍; 李为兵; 鄢俊安; 张瑞祺; 宋波

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Percutaneous nephrolithotomy for staghorn nephrolithiasis

更新时间：2026-01-09

- Percutaneous nephrolithotomy for staghorn nephrolithiasis
- Journal of Army Medical University Vol. 29, Issue 15, Pages: 1530-1532(2007)
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  CLC： R692.4;R699.2
- Published：2007
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李龙坤,宋彩萍,李为兵,鄢俊安,张瑞祺,宋波.经皮肾穿刺造瘘碎石术治疗鹿角形肾结石[J].陆军军医大学学报(原第三军医大学学报),2007,29(15):1530-1532.

　LI Long-kun,SONG Cai-ping,LI Wei-bing,YAN Jun-an,ZHANG Rui-qi,SONG Bo.Percutaneous nephrolithotomy for staghorn nephrolithiasis[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(15):1530-1532.
李龙坤,宋彩萍,李为兵,鄢俊安,张瑞祺,宋波.经皮肾穿刺造瘘碎石术治疗鹿角形肾结石[J].陆军军医大学学报(原第三军医大学学报),2007,29(15):1530-1532. DOI：

　LI Long-kun,SONG Cai-ping,LI Wei-bing,YAN Jun-an,ZHANG Rui-qi,SONG Bo.Percutaneous nephrolithotomy for staghorn nephrolithiasis[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(15):1530-1532. DOI：

摘要

目的探讨肾脏鹿角形结石的经皮肾穿刺造瘘碎石术（percutaneous nephrolithotomy

PCNL）治疗及注意事项。方法回顾总结158例行PCNL治疗，以及PCNL结合体外冲击波碎石（extracorporeal shock-wave lithoclasty

ESWL）治疗的肾脏鹿角形结石患者。结果一期PCNL清除结石64例，结合ESWL 73例，2次以上PCNL 46例，结石清除率83.5%，术中术后发生休克13例，发热9例，肉眼血尿者47例（5例患者因严重肉眼血尿而拔除双J管），耻骨上区、腰腹部不适及肾绞痛23例（4例患者经对症治疗无好转而拔除双J管）。结论 PCNL是肾鹿角型结石的有效治疗方法，术中术后应密切注意患者全身情况。

Abstract

Objective To report the experience of percutaneous nephrolithotomy (PCNL) in the treatment of staghorn nephrolithiasis. Methods Totally 158 patients with staghorn nephrolithiasis treated by PCNL or together with extracorporeal shock-wave lithoclasty (ESWL) were retrospectively reviewed. Results Sixty-four patients were well cured with one-staged PCNL

73 with PCNL plus ESWL

and 46 with more than two-staged PCNL. Stone clearance rate was 83.5%. The complications included shock in 13 patients

fever in 9

gross hematuria in 47

discomfort in 23

postoperative removal of double pigtail stents in 9 (5 due to serious hematuria

4 for unendurable discomfort). Conclusion PCNL is an effective surgery for staghorn calculus

however the occurrence of shock should be paid attention to.

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