中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2009年
22期
24-25
,共2页
肾结石%经皮肾镜%气压弹道碎石%超声碎石
腎結石%經皮腎鏡%氣壓彈道碎石%超聲碎石
신결석%경피신경%기압탄도쇄석%초성쇄석
Ureteral calculi%Percutaneous nephroseopy%Ballistic lithotripsy%Ultrasound lithotripsy
目的 探讨经皮肾镜超声联合气压弹道碎石术治疗肾结石的方法与安全性.方法 回顾性分析采用经皮肾镜结合EMS Ⅲ代气压弹道、超声碎石清石机治疗60例肾结石患者的临床资料.结果 该组60例,肾结石一次取净55例,取净率91.7%,5例残留肾盏小结石均＜1.0 cm,经体外震波碎石后自行排出.平均手术时间1.1 h;平均住院时间10.2 d.结论 经皮肾镜配合气压弹道超声碎石机治疗肾结石具有明显优势,创伤小,在碎石的同时可以通过碎石机的超声负压吸引装置一期将结石吸出,取石效率大大提高.
目的 探討經皮腎鏡超聲聯閤氣壓彈道碎石術治療腎結石的方法與安全性.方法 迴顧性分析採用經皮腎鏡結閤EMS Ⅲ代氣壓彈道、超聲碎石清石機治療60例腎結石患者的臨床資料.結果 該組60例,腎結石一次取淨55例,取淨率91.7%,5例殘留腎盞小結石均＜1.0 cm,經體外震波碎石後自行排齣.平均手術時間1.1 h;平均住院時間10.2 d.結論 經皮腎鏡配閤氣壓彈道超聲碎石機治療腎結石具有明顯優勢,創傷小,在碎石的同時可以通過碎石機的超聲負壓吸引裝置一期將結石吸齣,取石效率大大提高.
목적 탐토경피신경초성연합기압탄도쇄석술치료신결석적방법여안전성.방법 회고성분석채용경피신경결합EMS Ⅲ대기압탄도、초성쇄석청석궤치료60례신결석환자적림상자료.결과 해조60례,신결석일차취정55례,취정솔91.7%,5례잔류신잔소결석균＜1.0 cm,경체외진파쇄석후자행배출.평균수술시간1.1 h;평균주원시간10.2 d.결론 경피신경배합기압탄도초성쇄석궤치료신결석구유명현우세,창상소,재쇄석적동시가이통과쇄석궤적초성부압흡인장치일기장결석흡출,취석효솔대대제고.
Objective To investigate the approach and safety of percutaneous nephrolithotripsy with ultrasonic and pneumatic lithotripter for renal calculi.Methods Sixty patients underwent percutaneous nephrolithotripsy using an EMS Ⅲ pneumatic and ultrasonic lithotripter.Clinical data were analyzed retrospectively.Results Sixty cases in this group.the stones were cleared of in 55 of the 60 cases after the 1st session.the stone-free rate was 91.7%,only 5 cases of relict little stones in the lower renal calvx were treated by ESWL for the second time and then cleared of.The average operative time was 1.1 hours.average hospitalization being 10.2 days.Conclusions Treatment of complex renal calculi with PCNL associated by pneumatic and ultrasound lithotripsy has obvious advantages,less invasion,stones can cleared of by the ultrasound equipment with subpressure simultaneously,the eficiency of stone-free is much increased,and the method of treatment is worthy of popularization.
