国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2009年
12期
813-815
,共3页
丰琅%陈永骞%刘志%田野%吕文成%杜林栋
豐瑯%陳永鶱%劉誌%田野%呂文成%杜林棟
봉랑%진영건%류지%전야%려문성%두림동
经皮肾穿刺碎石术%肾结石%U100plus激光
經皮腎穿刺碎石術%腎結石%U100plus激光
경피신천자쇄석술%신결석%U100plus격광
percutaneous nephrolithotomy%renal calculi%U 100plus Laser
目的 探讨采用微创经皮肾穿刺U100plus激光碎石术治疗肾结石的安全性及有效性.方法 首都医科大学附属北京友谊医院自2006年10月~2008年12月使用Wolf 8/9.8硬性输尿管镜联合U100plus激光,采用微创经皮肾穿刺碎石术治疗肾结石133例.结果 133例一次性穿刺成功.一次性取净结石121例,7例患者术后复查残存肾内结石碎粒,口服排石药物,1个月后复查结石大部分排空,少量残留.5例患者于术后结合体外碎石(ESWL)排净结石,手术结石取净率为91.0%.手术时间38~65 min,平均46 min,术后肾造瘘管留置1~2 d,术后住院2~4 d.结论 微创经皮肾穿刺U100plus激光碎石术是治疗肾结石的一种安全、有效的方法.
目的 探討採用微創經皮腎穿刺U100plus激光碎石術治療腎結石的安全性及有效性.方法 首都醫科大學附屬北京友誼醫院自2006年10月~2008年12月使用Wolf 8/9.8硬性輸尿管鏡聯閤U100plus激光,採用微創經皮腎穿刺碎石術治療腎結石133例.結果 133例一次性穿刺成功.一次性取淨結石121例,7例患者術後複查殘存腎內結石碎粒,口服排石藥物,1箇月後複查結石大部分排空,少量殘留.5例患者于術後結閤體外碎石(ESWL)排淨結石,手術結石取淨率為91.0%.手術時間38~65 min,平均46 min,術後腎造瘺管留置1~2 d,術後住院2~4 d.結論 微創經皮腎穿刺U100plus激光碎石術是治療腎結石的一種安全、有效的方法.
목적 탐토채용미창경피신천자U100plus격광쇄석술치료신결석적안전성급유효성.방법 수도의과대학부속북경우의의원자2006년10월~2008년12월사용Wolf 8/9.8경성수뇨관경연합U100plus격광,채용미창경피신천자쇄석술치료신결석133례.결과 133례일차성천자성공.일차성취정결석121례,7례환자술후복사잔존신내결석쇄립,구복배석약물,1개월후복사결석대부분배공,소량잔류.5례환자우술후결합체외쇄석(ESWL)배정결석,수술결석취정솔위91.0%.수술시간38~65 min,평균46 min,술후신조루관류치1~2 d,술후주원2~4 d.결론 미창경피신천자U100plus격광쇄석술시치료신결석적일충안전、유효적방법.
Objective To evaluate the safety and feasibility of minimally invasive percutaneous nephro-lithotomy (mPCNL) with U100plus laser for the treatment of renal calculi. Methods From October 2006 to December 2008 ,mPCNL was performed on 133 patients suffering from renal calculi by using Wolf 8/9. 8 rig-id ureteroscope and U10Oplus laser. Results mPCNL was completed in all the 133 cases. Residual calculi were found in 7 cases after operation and use medical drags to treat. The most residual calculi were removed after 1 month and a few stones being survived. 5 cases with residual calculi were treated by ESWL. The total stone clearance was 91.0%. The operation time was 38 -65 min(mean 46 min). Nephrostomy tube was kept for a mean of 1 -2 d. The mean postoperational hospital stay was 2 -4 d. Among the patients, 133 were followed up for 1-16 months (mean 8. 3 months) , during which no recurrent renal stones were found by B ultrasonngraphy or X ray. Conclusion By using mPCNL with U100plus laser, patients with renal calculi can be treated safely and effectively.