安徽卫生职业技术学院学报
安徽衛生職業技術學院學報
안휘위생직업기술학원학보
JOURNAL OF ANHUI HEALTH VOCATIONAL & TECHNICAL COLLEGE
2014年
2期
40-40,41
,共2页
B超%肾结石%经皮肾镜%微创
B超%腎結石%經皮腎鏡%微創
B초%신결석%경피신경%미창
B ultrasound%Renal calculi%Percutaneous nephrolithotomy%Minimally invasive
目的:探讨应用B超引导微创经皮肾镜碎石术(MPCNL)治疗上尿路结石的方法、疗效和安全性。方法:采用B超定位引导下对75例上尿路结石采用经皮肾镜碎石,并对手术操作方法、并发症进行分析。结果:75例患者均为单通道取石,69例均一期取尽结石,6例在二期取尽结石,平均手术时间(95±25)min,出血量(105±54)ml,肾造瘘管留置时间平均为(7.9±2.4)d,住院时间(12.7±3.1)d。1例胸腔积液,3例腹腔积液,进行碎石清除术。结论:B超引导下微创经皮肾镜气压弹道碎石术治疗上尿路结石操作方法安全可靠、损伤小、出血少、穿刺成功率高、并发症少。
目的:探討應用B超引導微創經皮腎鏡碎石術(MPCNL)治療上尿路結石的方法、療效和安全性。方法:採用B超定位引導下對75例上尿路結石採用經皮腎鏡碎石,併對手術操作方法、併髮癥進行分析。結果:75例患者均為單通道取石,69例均一期取儘結石,6例在二期取儘結石,平均手術時間(95±25)min,齣血量(105±54)ml,腎造瘺管留置時間平均為(7.9±2.4)d,住院時間(12.7±3.1)d。1例胸腔積液,3例腹腔積液,進行碎石清除術。結論:B超引導下微創經皮腎鏡氣壓彈道碎石術治療上尿路結石操作方法安全可靠、損傷小、齣血少、穿刺成功率高、併髮癥少。
목적:탐토응용B초인도미창경피신경쇄석술(MPCNL)치료상뇨로결석적방법、료효화안전성。방법:채용B초정위인도하대75례상뇨로결석채용경피신경쇄석,병대수술조작방법、병발증진행분석。결과:75례환자균위단통도취석,69례균일기취진결석,6례재이기취진결석,평균수술시간(95±25)min,출혈량(105±54)ml,신조루관류치시간평균위(7.9±2.4)d,주원시간(12.7±3.1)d。1례흉강적액,3례복강적액,진행쇄석청제술。결론:B초인도하미창경피신경기압탄도쇄석술치료상뇨로결석조작방법안전가고、손상소、출혈소、천자성공솔고、병발증소。
Objective:To investigate the feasibility and effects of minimally invasive percutaneous nephrolithotomy under B ultrasound guidance for nephrolithiasis.Methods:We retrospectively analyzed 75 patients treated with minimally invasive percutaneous nephrolithotomy under B ultrasound guidance for nephrolithiasis .Results:Single tract was in all cases. In 75 cases.92%stone-free rate were achieved using one-stage minimally invasive percutaneous nephrolithotomy.The mean operative time was 95 ±25 minutes,the nephrostomic tubing mean duration was 7.9 ± 2.4days. The hospitalization days were 12.7 ±3.1 days, the estimated blood loss volume 105 ±54ml (mean volume 105ml).The complication were thorax hydrocele in one patient and celiac hydrocele in two cases.Conclusion:Minimally invasive PCNL is an effective and safe option for the treatment renal calculi.it may offer advantages with respect to less intraoperative and postoperative complications,less invasion,easy recovery and short hospitalization stay.