中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
23期
150-152
,共3页
超声引导%局部麻醉%经皮肾镜取石术%上尿路结石
超聲引導%跼部痳醉%經皮腎鏡取石術%上尿路結石
초성인도%국부마취%경피신경취석술%상뇨로결석
The guide of B ultrasound%Local anesthesia%Percutaneous nephrolithotomy%Upper uriny tract calculus
目的：探讨B超引导局部麻醉经皮肾镜取石术（PCNL）在上尿路结石治疗中的安全性和价值。方法：本组60例上尿路结石患者均在B超引导局部麻醉下行PCNL治疗。结果：60例均一期穿刺造瘘成功，54例一期成功行PCNL，6例患者因脓肾改行二期PCNL，总结石清除率为95.0%。手术时间为20~120 min，平均45 min，无严重并发症。结论：B超引导局部麻醉PCNL治疗上尿路结石具有创伤小、并发症少、恢复快、结石清除率高等优点，可作为肾结石或输尿管上段结石的治疗方法。
目的：探討B超引導跼部痳醉經皮腎鏡取石術（PCNL）在上尿路結石治療中的安全性和價值。方法：本組60例上尿路結石患者均在B超引導跼部痳醉下行PCNL治療。結果：60例均一期穿刺造瘺成功，54例一期成功行PCNL，6例患者因膿腎改行二期PCNL，總結石清除率為95.0%。手術時間為20~120 min，平均45 min，無嚴重併髮癥。結論：B超引導跼部痳醉PCNL治療上尿路結石具有創傷小、併髮癥少、恢複快、結石清除率高等優點，可作為腎結石或輸尿管上段結石的治療方法。
목적：탐토B초인도국부마취경피신경취석술（PCNL）재상뇨로결석치료중적안전성화개치。방법：본조60례상뇨로결석환자균재B초인도국부마취하행PCNL치료。결과：60례균일기천자조루성공，54례일기성공행PCNL，6례환자인농신개행이기PCNL，총결석청제솔위95.0%。수술시간위20~120 min，평균45 min，무엄중병발증。결론：B초인도국부마취PCNL치료상뇨로결석구유창상소、병발증소、회복쾌、결석청제솔고등우점，가작위신결석혹수뇨관상단결석적치료방법。
To evaluate the safety and feasibility of minimally invasive percutaneous nephrolithotomy under the guide of B ultrasound and local anesthesia in treating upper uriny tract calculi.Method:60 patients with renal calculi or ureteral calculus who underwent PCNL were retrospectively analyzed. All 60 cases underwent PCNL with local infiltration anesthesia under the guidance of ultrasound. Result:Among 60 cases,54 cases were stone free after one stage PCNL,6 cases stone free after two stages PCNL for renal pyonephrosis. The total stone free rate was 95.0%. The operative duration was 45 min(20-120 min). No severe complications were observed. Conclusion:PCNL under the guidance of ultrasound and local infiltration anesthesia offers advantages with respect to easy operation,less invasion,less complications,high stone free rate. It is a minimally invasive way in treatment of renal and ureteral calculus.
