CAJ | 학술논문

目的探讨B超结合CT定位下经皮肾微造瘘输尿管镜下气压弹道碎石取石术治疗上尿路结石的临床疗效.方法回顾性分析2011年10月至2013年5月收治的108例上尿路结石患者采用B超结合CT定位下经皮肾微造瘘输尿管镜下气压弹道碎石取石治疗,行一期或二期碎石.结果一期穿刺碎石成功103例,其中有5例需二期碎石;5例转开放手术;无出现严重并发症及死亡病例.结论采用B超结合CT定位经皮肾微造瘘输尿管镜下气压弹道碎石取石术治疗上尿路结石,临床建立皮肾通道简单可行,创伤性小,并发出血少;输尿管镜下气压弹道碎石取石疗效确切,碎石彻底,清除干净,结石残留少;无严重并发症等优越性,值得推广应用.
목적 탐토B초결합CT정위하경피신미조루수뇨관경하기압탄도쇄석취석술치료상뇨로결석적림상료효.방법 회고성분석2011년10월지2013년5월수치적108례상뇨로결석환자채용B초결합CT정위하경피신미조루수뇨관경하기압탄도쇄석취석치료,행일기혹이기쇄석.결과 일기천자쇄석성공103례,기중유5례수이기쇄석;5례전개방수술;무출현엄중병발증급사망병례.결론 채용B초결합CT정위경피신미조루수뇨관경하기압탄도쇄석취석술치료상뇨로결석,림상건립피신통도간단가행,창상성소,병발출혈소;수뇨관경하기압탄도쇄석취석료효학절,쇄석철저,청제간정,결석잔류소;무엄중병발증등우월성,치득추엄응용.
Objective To explore the clinical efficacy of B ultrasound combined with CT positioning percutaneous nephrolithotomy reno ureteroscopy pneumatic lithotripsy in the treatment of upper urinary calculi.Method Retrospectively analyzed 108 patients with upper urinary tract calculi in our hospital from October 2011 to May 2013,who underwent B ultrasound combined with CT positioning percutaneous nephrolithotomy reno ureteroscopy pneumatic lithotripsy,phase Ⅰ or Ⅱ gravel.Results There were 103 cases of successful phase Ⅰ puncture gravel,5 patients of whom required phase Ⅱ gravel; 5 cases turned to open surgery.There were no serious complications or death.Conclusions B ultrasound combined with CT guided percutaneous renal reno ureteroscopy pneumatic lithotripsy in the treatment of upper urinary tract stones is effective,with simple and feasible clinical percutaneous renal access,less trauma,less bleeding,thoroughly cleaned gravel,and less residual stones,without serious complications,worthy of clinical application.