现代医院
現代醫院
현대의원
MODERN HOSPITAL
2009年
8期
36-37
,共2页
何志新%温天奋%彭晓东%黄忠谋%何自浪
何誌新%溫天奮%彭曉東%黃忠謀%何自浪
하지신%온천강%팽효동%황충모%하자랑
经皮肾镜碎石术%经输尿管镜碎石术%上尿路结石%弹道超声波碎石清石系统
經皮腎鏡碎石術%經輸尿管鏡碎石術%上尿路結石%彈道超聲波碎石清石繫統
경피신경쇄석술%경수뇨관경쇄석술%상뇨로결석%탄도초성파쇄석청석계통
Percutaneous nephroscope lithotripsy(PCNL)%Ureteroscope lithotrity (URL)%Upper urinary stones%Trajectory ultrasonic detritus system
目的 探讨经皮肾镜及输尿管镜下应用第三代弹道超声波碎石清石系统治疗上尿路结石的临床效果和操作体会.方法 总结分析我院应用经皮肾镜取石术(PCNL)及输尿管镜取石术(URL),结合第三代弹道超声波碎石清石系统(EMS)治疗上尿路结石82例的临床资料.结果 75例均成功一期取石术,仅7例需二期PCNL清石.平均手术时间90.0 min,肾造瘘管留置时间平均4.0 d.术后平均住院时间6.5 d.术后大出血1例.结石清除率92%.结论 经皮肾穿刺造瘘取石及经输尿管镜取石术具有损伤小、恢复快、住院时间短、结石清除率高、并发症少等优点,是治疗上尿路结石的较好方法 .
目的 探討經皮腎鏡及輸尿管鏡下應用第三代彈道超聲波碎石清石繫統治療上尿路結石的臨床效果和操作體會.方法 總結分析我院應用經皮腎鏡取石術(PCNL)及輸尿管鏡取石術(URL),結閤第三代彈道超聲波碎石清石繫統(EMS)治療上尿路結石82例的臨床資料.結果 75例均成功一期取石術,僅7例需二期PCNL清石.平均手術時間90.0 min,腎造瘺管留置時間平均4.0 d.術後平均住院時間6.5 d.術後大齣血1例.結石清除率92%.結論 經皮腎穿刺造瘺取石及經輸尿管鏡取石術具有損傷小、恢複快、住院時間短、結石清除率高、併髮癥少等優點,是治療上尿路結石的較好方法 .
목적 탐토경피신경급수뇨관경하응용제삼대탄도초성파쇄석청석계통치료상뇨로결석적림상효과화조작체회.방법 총결분석아원응용경피신경취석술(PCNL)급수뇨관경취석술(URL),결합제삼대탄도초성파쇄석청석계통(EMS)치료상뇨로결석82례적림상자료.결과 75례균성공일기취석술,부7례수이기PCNL청석.평균수술시간90.0 min,신조루관류치시간평균4.0 d.술후평균주원시간6.5 d.술후대출혈1례.결석청제솔92%.결론 경피신천자조루취석급경수뇨관경취석술구유손상소、회복쾌、주원시간단、결석청제솔고、병발증소등우점,시치료상뇨로결석적교호방법 .
Objective To study the clinical effects and operation experiences of using the 3rd lithotripsy system for the treatment of upper urinary stones via percutaneous nephroscope lithotripsy (PCNL) and ureteroscope lithotripsy (URL).Methods We analyzed 82 upper urinary stone cases of using PCNL and URL in our hospital.Results 75 cases removed the stones successfully for the first time;only 7 cases removed the stones for the second time.The mean operation time was 90.0 minutes.The mean renal-fistula time was 4.0 days.The mean hospital staying time was 6.5 days.Only 1 case hemorrhage after the operation.Stone clearance rate was 92%.Conclusion PCNL and URL are good methods for the treatment of upper urinary stones, with advantages of minor trauma, fast recovery, short hospital time, high clearance rate of stones and few complications.
