CAJ | 학술논문

目的：探讨 B 超引导下经皮肾穿刺取石术治疗上尿路结石的临床应用价值。方法：回顾分析2011年2月～2013年8月在 B 超引导下MPCNL 治疗上尿路结石病例285例的临床资料，285例均在B超引导下建立 F16或 F18的经皮肾通道，行输尿管硬镜气压弹道碎石术治疗。结果：285例上尿路结石患者均成功穿刺并建立经皮肾通道，一期取石239例，二期取石43例，三期取石3例。结石清除率85．9％，平均手术时间81min ，术中出血平均85ml ，1例迟发性出血经保守治疗痊愈。结论：B超引导下经皮肾穿刺取石术治疗上尿路结石能够有效安全的选择合理的穿刺通道路，提高目标肾盏穿刺准确度，减少手术并发症，提高结石清除率。
목적：탐토 B 초인도하경피신천자취석술치료상뇨로결석적림상응용개치。방법：회고분석2011년2월～2013년8월재 B 초인도하MPCNL 치료상뇨로결석병례285례적림상자료，285례균재B초인도하건립 F16혹 F18적경피신통도，행수뇨관경경기압탄도쇄석술치료。결과：285례상뇨로결석환자균성공천자병건립경피신통도，일기취석239례，이기취석43례，삼기취석3례。결석청제솔85．9％，평균수술시간81min ，술중출혈평균85ml ，1례지발성출혈경보수치료전유。결론：B초인도하경피신천자취석술치료상뇨로결석능구유효안전적선택합리적천자통도로，제고목표신잔천자준학도，감소수술병발증，제고결석청제솔。
Objective :To explore the clinical application value of Bultrasound -guided percutaneous lithotripsy treatment of upper urinary calculi . Methods:A retrospective analysis of clinical285 cases was made about B ultrasound -guided MPCNL treatment of urolithiasis inFebruary 2011 -Au-gust 2013 ,285 cases were all established F16 or F18percutaneous renal access in the B ultrasound -guide ,and treated by ureter hardlens pneumatic lithotripsy .Results:Thechannel to kidney by percutaneous puncture was successfully made in 285 patientswith upper urinary tract calculi ,239 cases were cured in the first time ,43cases in the second time ,3 cases in the third time .Stone clearance rate was 85 .9% ,and the average operative time is 81min ,mean blood loss was 85ml ,one case of delayed bleeding were cured by conservativetreatment .Conclusion:B ultrasound -guidedpercutaneous lithotripsy treatment of upper urinary calculi can effectively selecta reasonable piercing road ,improve the accuracy of the target calyx puncture ,reduce surgical complications and improve stone clearance rate .