大理学院学报:综合版
大理學院學報:綜閤版
대이학원학보:종합판
Journal of Dali University
2012年
12期
50-52
,共3页
肖玉坤%萧芝松%文贵成%郑宝寿%杨立%吴学东
肖玉坤%蕭芝鬆%文貴成%鄭寶壽%楊立%吳學東
초옥곤%소지송%문귀성%정보수%양립%오학동
微创%经皮肾镜碎石术%肾盏憩室结石
微創%經皮腎鏡碎石術%腎盞憩室結石
미창%경피신경쇄석술%신잔게실결석
minimally invasive%percutaneous nephrolithotomy%calyceal diverticular calculi
目的:探讨经皮肾镜技术治疗肾盏憩室结石的临床疗效。方法:回顾性分析18例诊断为肾盏憩室并结石患者临床治疗资料。其采用B超结合C臂引导下定位穿刺建立经皮肾通道碎石成功,根据个体情况运用扩张憩室盏颈或电灼憩室囊壁两种方法处理肾盏憩室。结果:本组患者均获穿刺碎石成功,手术时间45~120(65.8±7.89)min,无严重并发症;术后随访3。24个月,憩室消失9例,明显缩小8例,1例虽结石复发但可保守观察。结论:经皮肾技术治疗肾盏憩室结石是微创、有效、安全的治疗手段。穿刺路径选择、小心建立通道以及憩室盏颈的处理是治疗肾盏憩室结石成功的关键。
目的:探討經皮腎鏡技術治療腎盞憩室結石的臨床療效。方法:迴顧性分析18例診斷為腎盞憩室併結石患者臨床治療資料。其採用B超結閤C臂引導下定位穿刺建立經皮腎通道碎石成功,根據箇體情況運用擴張憩室盞頸或電灼憩室囊壁兩種方法處理腎盞憩室。結果:本組患者均穫穿刺碎石成功,手術時間45~120(65.8±7.89)min,無嚴重併髮癥;術後隨訪3。24箇月,憩室消失9例,明顯縮小8例,1例雖結石複髮但可保守觀察。結論:經皮腎技術治療腎盞憩室結石是微創、有效、安全的治療手段。穿刺路徑選擇、小心建立通道以及憩室盞頸的處理是治療腎盞憩室結石成功的關鍵。
목적:탐토경피신경기술치료신잔게실결석적림상료효。방법:회고성분석18례진단위신잔게실병결석환자림상치료자료。기채용B초결합C비인도하정위천자건립경피신통도쇄석성공,근거개체정황운용확장게실잔경혹전작게실낭벽량충방법처리신잔게실。결과:본조환자균획천자쇄석성공,수술시간45~120(65.8±7.89)min,무엄중병발증;술후수방3。24개월,게실소실9례,명현축소8례,1례수결석복발단가보수관찰。결론:경피신기술치료신잔게실결석시미창、유효、안전적치료수단。천자로경선택、소심건립통도이급게실잔경적처리시치료신잔게실결석성공적관건。
Objective: To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy (mPCNL) in treatment of renal calyceal diverticular calculi. Methods: Patients with a symptomatic calyceal diverticular calculi were underwent mPCNL under ultrasound and X-ray guidance, the percutaneous renal access were setup succeedly and the stones were smashed, and we use two methods for the diverticulum treatment according to the condition of patients: dilation the diverticular neck or fulguration of diverticular sac wall. Total 18 cases of clinical data were conducted retrospectively analysis. Results: All 18 cases were applied with percutaneous therapy successfully in the first time. The operative time was 45-120 (65.8±7.89) min, and no severe complications found. The follow-up time was 3 to 24 months, diverticulum was disappeared in 9 cases and reduced obviously in 8 cases. Stone recurrenceed in 1 case with conservative observation. Conclusion: mPCNL is an effective and feasible treatment option for symptomatic caliceal divertivular calculi. The percutaneous approach and infundibular neck treatment are keys to success rate of operation.