门诊纤维软镜治疗经皮肾镜术后残石（附52例报道）

Application of flexible fiberscope in treating residual stones after percutaneous nephrolithotomy in outpatient department：report of 52 cases

摘要:

目的：探讨门诊纤维软镜（纤维胆道镜）治疗经皮肾镜术后残石的安全性和有效性。方法：在门诊，采用纤维软镜治疗经皮肾镜术后残石52例，观察患者的耐受性和残石清除情况。结果：在52例患者中，一次性取尽残石22例，一次性残石取尽率 42.3%。最终38例取尽残石，残石总取尽率73.1%。结论：门诊纤维软镜处理经皮肾镜术后残石，能降低经皮肾镜碎石取石术的手术风险，满意清除残石，安全有效，经济方便。

Abstract:

Objective：To evaluate the safety and effectiveness of treating residual stones after percutaneous nephrolithotomy （PCNL） with flexible fiberscope（choledochofiberscope） in outpatient department. Methods：The patients with residual stones after PCNL were treated by flexible fiberscopy to deal with residual stones. The removal of the residual stones and patients’tolerance were observed. Results：There were 22 cases in 52 cases（42.3%） whose residual stones were cleared completely in one time. The residual stones were cleared completely in 38 cases（73.1%）. Conclusion：Application of flexible fiberscope（choledochofiberscope） in treating residual stones in outpatient department after PCNL is safe，economical and effective.