【摘要】目的 总结肋上入路经皮肾镜取石术治疗肾上极结石的经验及体会，防止胸腔并发症的发生。方法 回顾性分析2006年3月—2009年3月135例次肋上入路经皮肾镜取石术治疗肾上极结石患者的临床资料。结果 所有患者均成功取石，结石清除率为 100%，2例气胸，5例血气胸，未发生脓胸。结论 肋上入路便利肾上极结石的处理，胸膜损伤是肋上穿刺经皮肾手术的潜在并发症，术中严密观测病人状况，早期诊断，早期治疗，可以降低手术病人胸部并发症的发生率。

    【关键词】肾上极结石 经皮肾镜取石术 气胸 血气胸

    中图分类号：R692.4文献标识码：B文章编号：1005-0515(2010)11-066-02

    Travelling on rib skin nephrolithotomy treatment in kidney stones(135) :

    ZIXiao Long MaZiFang LiuYuMing ChenRiXin DengZhaoJin WangZhongHua YiChen

    (hunan hengyang city center hospital uropoiesis surgical 421001)

    【Abstract】objective to summarize the pass on rib skin nephrolithotomy treatment in renal calculi experience and appreciate, prevent the chest complications.Methods looks analysis in March 2006 - March 2009 135 cases rib on travelling skin nephrolithotomy therapy in patients with renal calculi clinical information.Results all patients were successfully removed, stone-free rate 100%, 2 cases of pneumothorax, 5 cases, not XieQiXiong example.Conclusion the road on the side of the kidney stone extremely convenient, pleural damage is on the side of the percutaneous puncture operation and potential complication closely observed patients condition, early diagnosis and early treatment, can reduce the incidence of complications in patients with chest surgery. ......