CAJ | 학술논문

目的探讨斜仰卧位下经皮肾镜碎石取石术(PCNL)治疗嵌顿性输尿管上段结石的疗效及其优点.方法分析本院2011年10月～2013年10月采用斜仰卧位下经皮肾镜碎石取石术(PCNL)治疗嵌顿性输尿管上段结石62例.手术均采用斜仰卧位,使患侧向上躯干冠状面与手术床呈30°～ 45°,在B超引导下穿刺并建立操作通道,完成碎石机取石术,术后均常规留置双J管及肾造瘘管.结果 62例均为一期单通道碎石及取石,平均手术时间55min,肾造瘘管平均留置4d,术后住院时间5d,平均结石清除率96.8％.结论斜仰卧位下经皮肾镜取石术治疗嵌顿性输尿管上段结石具有使患者及术者体位舒适、术中操作方便、手术更安全的优势,值得临床上应用推广.
목적 탐토사앙와위하경피신경쇄석취석술(PCNL)치료감돈성수뇨관상단결석적료효급기우점.방법 분석본원2011년10월～2013년10월채용사앙와위하경피신경쇄석취석술(PCNL)치료감돈성수뇨관상단결석62례.수술균채용사앙와위,사환측향상구간관상면여수술상정30°～ 45°,재B초인도하천자병건립조작통도,완성쇄석궤취석술,술후균상규류치쌍J관급신조루관.결과 62례균위일기단통도쇄석급취석,평균수술시간55min,신조루관평균류치4d,술후주원시간5d,평균결석청제솔96.8％.결론 사앙와위하경피신경취석술치료감돈성수뇨관상단결석구유사환자급술자체위서괄、술중조작방편、수술경안전적우세,치득림상상응용추엄.
Objectives To investigate the safety and feasibility of PCNL in treating incarcerate upper ureteral calculi in semi-supine position.Methods A restrospective investigation was conducted on 62 cases with Incarcerate Upper Ureteral Calculi,who were treated with percutaneous nephrolithotomy with ultrasound-guided from October 2011 to October 2013.The patients were placed in semi-supine position with flank elevated by 30° ～ 45 °.The puncture was made under the guidance B-type ultrasonography,and then Holmium laser was used for stone fragmentation.The stone debris was removed by irrigation.The double-J stent and nephrostomy tube were regularly placed after operation.Results All the 62 patients were achieved using one-stage percutaneous nephrolithotomy,and the mean operative time was 55 minutes,and average nephrostomy tube stay was 4 days,mean hospital stay was 5 days,primary stone clearance was achieved 96.8％.Conclusions PCNL in semi-supine position was an effective,safe and feasible treatment option for incarcerate upper ureteral calculi,which was helpful for anaesthetic inspection and comfortable for patients during the operation.