中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
11期
6-8
,共3页
余新立%吴荣海%庞健%陈立新%廖勇彬%黄晓生%程洲平%林绮平%孙明
餘新立%吳榮海%龐健%陳立新%廖勇彬%黃曉生%程洲平%林綺平%孫明
여신립%오영해%방건%진립신%료용빈%황효생%정주평%림기평%손명
肾造口术%经皮%输尿管镜%肾结石%肾积液
腎造口術%經皮%輸尿管鏡%腎結石%腎積液
신조구술%경피%수뇨관경%신결석%신적액
Nephrostomy,percutaneons%Ureterscopes%Kidney calculi%Hydronephrotic
目的 探讨微创经皮肾穿刺取石术(PCNL)联合输尿管镜碎石术(URL)治疗非肾积水型肾鹿角形结石的安全性及疗效.方法 回顾性分析采用微创PCNL联合URL治疗非肾积水型肾鹿角形结石53例患者的临床资料.结果 53例(64侧)患者均成功施行一期取石,一期取净结石9侧,二期取净结石33侧,三期取净结石13侧,结石总取净率达85.9%(55/64),术后结合体外冲击波碎石术(ESWL),结石总清除率达95.3%(61/64).术中输血3例,术后发生休克1例,发热7例,肉眼血尿5例,耻骨上区、腰腹部不适及肾绞痛12例.结论 微创PCNL联合URL治疗非肾积水型肾鹿角形结石具有创伤小、恢复快、并发症少等优点,为微创治疗非肾积水型肾鹿角形结石提供新的方法.
目的 探討微創經皮腎穿刺取石術(PCNL)聯閤輸尿管鏡碎石術(URL)治療非腎積水型腎鹿角形結石的安全性及療效.方法 迴顧性分析採用微創PCNL聯閤URL治療非腎積水型腎鹿角形結石53例患者的臨床資料.結果 53例(64側)患者均成功施行一期取石,一期取淨結石9側,二期取淨結石33側,三期取淨結石13側,結石總取淨率達85.9%(55/64),術後結閤體外遲擊波碎石術(ESWL),結石總清除率達95.3%(61/64).術中輸血3例,術後髮生休剋1例,髮熱7例,肉眼血尿5例,恥骨上區、腰腹部不適及腎絞痛12例.結論 微創PCNL聯閤URL治療非腎積水型腎鹿角形結石具有創傷小、恢複快、併髮癥少等優點,為微創治療非腎積水型腎鹿角形結石提供新的方法.
목적 탐토미창경피신천자취석술(PCNL)연합수뇨관경쇄석술(URL)치료비신적수형신록각형결석적안전성급료효.방법 회고성분석채용미창PCNL연합URL치료비신적수형신록각형결석53례환자적림상자료.결과 53례(64측)환자균성공시행일기취석,일기취정결석9측,이기취정결석33측,삼기취정결석13측,결석총취정솔체85.9%(55/64),술후결합체외충격파쇄석술(ESWL),결석총청제솔체95.3%(61/64).술중수혈3례,술후발생휴극1례,발열7례,육안혈뇨5례,치골상구、요복부불괄급신교통12례.결론 미창PCNL연합URL치료비신적수형신록각형결석구유창상소、회복쾌、병발증소등우점,위미창치료비신적수형신록각형결석제공신적방법.
Objective To assess the safety and the curative effect of the combination of minipercutaneous nephrolithotomy (mini-PCNL) and ureteroscopic lithotripsy (URL) in the treatment of nonhydronephrotic staghorn calculi. Methods The clinical data of 53 eases with non-hydronephrotic staghom calculi treated by mini-PCNL combined with URL were retrospectively analyzed. Results Fifty-three cases (64 renal units) were performed first-stsge operation, 9 renal units were stone free in first-stage operation, 33 renal units were stone free in second-stage operation, other 13 renal units were stone free in third-stage operation. A complete stone clearance rate of 85.9%(55/64) was achieved, and after one to three sessions of mini-PCNL and extracorpereal shock wave lithotripsy afterwards that increased to 95.3% (61/64). Blood transfusion was performed in 3 cases, no major complication was noted in the patients. Conclusions The combination of mini-PCNL and URL has more advantages, less invasions, easier recovery and less complications. It provides a new minimally invasive way for non-hydronephrotic staghorn calculi.
