中国农村卫生
中國農村衛生
중국농촌위생
CHINA RURAL HEALTH
2014年
z2期
40-40
,共1页
肾镜取石%尿路结石%诊治%临床分析
腎鏡取石%尿路結石%診治%臨床分析
신경취석%뇨로결석%진치%림상분석
nephrolithotomy%clinical analysis of the diagnosis and treatment of urinary calculi
目的：对采用经皮肾镜取石术治疗上尿路结石的临床分析，为临床更广泛应用提供事实依据。方法：采用B超引导下MPCNL治疗上尿路结石25例。结果：25例患者中有20例Ⅰ期取石，3例行Ⅱ期取石，2例行Ⅲ期取石；单通道取石21例，双通道取石3例，三通道取石1例；平均手术时间96min ，肾造瘘管平均留置时间7d ，平均住院时间12．5d。2例出现术后尿外渗，经调整肾造瘘管的位置及置入外支架管后治愈。所有患者经随访未出现明显并发症。结论：B超引导下MPCNL治疗输尿管上段结石具有组织损伤小、术中安全、住院时间短、结石清除率高的优点，值得基层推广应用。
目的：對採用經皮腎鏡取石術治療上尿路結石的臨床分析，為臨床更廣汎應用提供事實依據。方法：採用B超引導下MPCNL治療上尿路結石25例。結果：25例患者中有20例Ⅰ期取石，3例行Ⅱ期取石，2例行Ⅲ期取石；單通道取石21例，雙通道取石3例，三通道取石1例；平均手術時間96min ，腎造瘺管平均留置時間7d ，平均住院時間12．5d。2例齣現術後尿外滲，經調整腎造瘺管的位置及置入外支架管後治愈。所有患者經隨訪未齣現明顯併髮癥。結論：B超引導下MPCNL治療輸尿管上段結石具有組織損傷小、術中安全、住院時間短、結石清除率高的優點，值得基層推廣應用。
목적：대채용경피신경취석술치료상뇨로결석적림상분석，위림상경엄범응용제공사실의거。방법：채용B초인도하MPCNL치료상뇨로결석25례。결과：25례환자중유20례Ⅰ기취석，3례행Ⅱ기취석，2례행Ⅲ기취석；단통도취석21례，쌍통도취석3례，삼통도취석1례；평균수술시간96min ，신조루관평균류치시간7d ，평균주원시간12．5d。2례출현술후뇨외삼，경조정신조루관적위치급치입외지가관후치유。소유환자경수방미출현명현병발증。결론：B초인도하MPCNL치료수뇨관상단결석구유조직손상소、술중안전、주원시간단、결석청제솔고적우점，치득기층추엄응용。
Objective:the clinical analysis of percutaneous nephrolithotomy for treatment of upper urinary tract calculi ,provide a factual basis for more extensive clinical application .Methods:25 cases of MPCNL B ultrasound guidance in treating upper urinary tract calculi .Results:25 patients have 20 cases of stone ,3 cases ofⅡstone ,2 cases of stage Ⅲ stone;single channel to take stones in 21 cases ,double channel to take stones in 3 cases ,three channel to take stones in 1 cases;the average operation time was 96min ,the average nephrostomy tube indwelling time 7d ,average hospitalization time 12 .5d .2 cases of postoperative uri-nary extravasation ,the location and placement of stent to adjust the nephrostomy tube after cure .All patients were followed up for no obvious complications . Conclusion B ultrasound guided MPCNL treatment of ureteral calculi with little tissue damage ,safety in operation ,hospitalization time short ,high rate of stone clearance advantage ,it is worthy of popularization and application base .
