中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
8期
1169-1170
,共2页
输尿管结石%输尿管镜检查%肾造口术,经皮%气压弹道碎石术
輸尿管結石%輸尿管鏡檢查%腎造口術,經皮%氣壓彈道碎石術
수뇨관결석%수뇨관경검사%신조구술,경피%기압탄도쇄석술
Ureteral calculi%Ureteroscopy%Nephrostomy,percutaneous%Pneumatic lithotripsy
目的 探讨超声引导下微通道经皮肾输尿管镜气压弹道碎石术治疗复杂性输尿管上段结石的有效性和安全性.方法 回顾性分析28例超声引导下微通道经皮肾输尿管镜气压弹道碎石术治疗复杂性输尿管上段结石患者的临床资料,分析手术时间、结石清除率、拔管时间、术后住院时间、手术并发症等指标.结果 28例均Ⅰ期成功建立16F皮肾通道并成功碎石,平均手术时间40 min,平均出血量60ml.术后复查超声、尿路平片(KUB),一次结石清除率100％,无大出血及胸膜、结肠损伤等并发症.结论 超声引导下微通道经皮肾输尿管镜气压弹道碎石术是一种治疗复杂性输尿管上段结石比较安全、有效的方式.
目的 探討超聲引導下微通道經皮腎輸尿管鏡氣壓彈道碎石術治療複雜性輸尿管上段結石的有效性和安全性.方法 迴顧性分析28例超聲引導下微通道經皮腎輸尿管鏡氣壓彈道碎石術治療複雜性輸尿管上段結石患者的臨床資料,分析手術時間、結石清除率、拔管時間、術後住院時間、手術併髮癥等指標.結果 28例均Ⅰ期成功建立16F皮腎通道併成功碎石,平均手術時間40 min,平均齣血量60ml.術後複查超聲、尿路平片(KUB),一次結石清除率100％,無大齣血及胸膜、結腸損傷等併髮癥.結論 超聲引導下微通道經皮腎輸尿管鏡氣壓彈道碎石術是一種治療複雜性輸尿管上段結石比較安全、有效的方式.
목적 탐토초성인도하미통도경피신수뇨관경기압탄도쇄석술치료복잡성수뇨관상단결석적유효성화안전성.방법 회고성분석28례초성인도하미통도경피신수뇨관경기압탄도쇄석술치료복잡성수뇨관상단결석환자적림상자료,분석수술시간、결석청제솔、발관시간、술후주원시간、수술병발증등지표.결과 28례균Ⅰ기성공건립16F피신통도병성공쇄석,평균수술시간40 min,평균출혈량60ml.술후복사초성、뇨로평편(KUB),일차결석청제솔100％,무대출혈급흉막、결장손상등병발증.결론 초성인도하미통도경피신수뇨관경기압탄도쇄석술시일충치료복잡성수뇨관상단결석비교안전、유효적방식.
Objective To explore the safety and efficacy of ultrasound-guided minimally invasive percutaneous nephrolithotomy(mini-PCNL) for the patients with complicated upper ureteral calculus.Methods The clinical data of 28 patients with complicated upper ureteral calculus was retrospectively analyzed,all of the patients had undergone ultrasound-guided mini-PCNL.The parameters included operative time,the stone-free rate,theretention time of nephrostomy tube,the average postoperative hospital stay and the complications.Results In all the 28 case,the 16F nephrostomy tract was established and the calculus were cleared successfully in one stage.The average operative time was 40 minutes,the average estimmate intraoperative blood loss was 60ml.The stone-free rate was 100％ according to the ultrasonography or KUB after the surgery.There were no complications such as bleeding,the damage to pleura or intestines.Conclusion As the preferred treatment of complicated upper ureteral calculus,ultrasound-guided miniPCNL is a safe and effective procedure.
