中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2013年
5期
337-339
,共3页
肾造口术,经皮%肾上盏结石%11肋
腎造口術,經皮%腎上盞結石%11肋
신조구술,경피%신상잔결석%11륵
Nephrostomy,percutaneous%Renal upper calyceal stones%11 rib
目的 比较经第11肋上缘径路和下缘径路微创经皮肾镜治疗肾上盏结石的效果.方法 2008年7月至2010年7月收治肾结石患者216例,其中肾上盏结石66例.经第11肋上缘径路(A组)32例；男15例,女17例,平均年龄42岁；结石位于左侧10例,右侧21例,双侧1例,结石长径平均1.9 cm.经第11肋下缘径路(B组)34例；男14例,女20例,平均年龄44岁；结石位于左侧13例,右侧21例,结石长径平均1.7 cm.两组均行微创经皮肾镜钬激光碎石取石术.比较两组穿刺时间、一次性穿刺成功率、一次性结石清除率. 结果 穿刺时间A组为3.0～14.0 min,平均5.8 min；B组为3.0～ 17.0 min,平均6.4 min.两组一次性穿刺成功率均为100％.一次性结石清除率A组为100％(32/32),B组为88％ (30/34),两组比较差异有统计学意义(P＜0.05).两组均未发生气胸、血胸、腹腔脏器损伤等手术并发症. 结论 经第11肋上缘径路微创经皮肾镜治疗肾上盏结石与常规的第11肋下缘径路相比,经皮肾通道距离短,疗效确切,结石清除率较高.
目的 比較經第11肋上緣徑路和下緣徑路微創經皮腎鏡治療腎上盞結石的效果.方法 2008年7月至2010年7月收治腎結石患者216例,其中腎上盞結石66例.經第11肋上緣徑路(A組)32例；男15例,女17例,平均年齡42歲；結石位于左側10例,右側21例,雙側1例,結石長徑平均1.9 cm.經第11肋下緣徑路(B組)34例；男14例,女20例,平均年齡44歲；結石位于左側13例,右側21例,結石長徑平均1.7 cm.兩組均行微創經皮腎鏡鈥激光碎石取石術.比較兩組穿刺時間、一次性穿刺成功率、一次性結石清除率. 結果 穿刺時間A組為3.0～14.0 min,平均5.8 min；B組為3.0～ 17.0 min,平均6.4 min.兩組一次性穿刺成功率均為100％.一次性結石清除率A組為100％(32/32),B組為88％ (30/34),兩組比較差異有統計學意義(P＜0.05).兩組均未髮生氣胸、血胸、腹腔髒器損傷等手術併髮癥. 結論 經第11肋上緣徑路微創經皮腎鏡治療腎上盞結石與常規的第11肋下緣徑路相比,經皮腎通道距離短,療效確切,結石清除率較高.
목적 비교경제11륵상연경로화하연경로미창경피신경치료신상잔결석적효과.방법 2008년7월지2010년7월수치신결석환자216례,기중신상잔결석66례.경제11륵상연경로(A조)32례；남15례,녀17례,평균년령42세；결석위우좌측10례,우측21례,쌍측1례,결석장경평균1.9 cm.경제11륵하연경로(B조)34례；남14례,녀20례,평균년령44세；결석위우좌측13례,우측21례,결석장경평균1.7 cm.량조균행미창경피신경화격광쇄석취석술.비교량조천자시간、일차성천자성공솔、일차성결석청제솔. 결과 천자시간A조위3.0～14.0 min,평균5.8 min；B조위3.0～ 17.0 min,평균6.4 min.량조일차성천자성공솔균위100％.일차성결석청제솔A조위100％(32/32),B조위88％ (30/34),량조비교차이유통계학의의(P＜0.05).량조균미발생기흉、혈흉、복강장기손상등수술병발증. 결론 경제11륵상연경로미창경피신경치료신상잔결석여상규적제11륵하연경로상비,경피신통도거리단,료효학절,결석청제솔교고.
Objective To investigate and compare the effects of minimally invasive percutaneous nephrolithotomy for renal upper calyceal stones with approaches through upper edge of the 1 lth rib and lower edge of the 11th fib.Methods Two hundred and sixteen cases of kidney stones in our hospital from July 2008 to July 2010 were reviewed.Of which 66 patients were renal calyceal stones.Thirty-two patients underwent the approach through upper edge of the 11th rib (group A),with 15 males and 17 females,with a mean age of 42 years.Ten cases with stone were located on the left side,right 21 cases,and bilateral 1 case,with calculi average maximum diameter of 1.9 cm.Thirty-four cases underwent the approach through lower edge of the 11th path (B group),with 14 males and 20 females,with a mean age of 44 years.Thirteen cases with stone were located on the left side,right 21 cases,with calculi average maximum diameter of 1.7 cm.The two groups underwent minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy lithotomy.The average puncture time,one-time success rate of puncture and disposable stone-free rate were compared.Results Puncture time of group A was 3.0-14.0 min,with an average of 5.8 min,and group B was 3.0-17.0 min with an average of 6.4 min.The disposable puncture success rate of the two groups was 100％.Disposable stone-free rate was 100％ in group A (32/32),and 88％ in group B (30/34) (P ＜ 0.05).There were no pneumothorax,hemothorax,abdominal viscera injury in two groups.Conclusions The minimally invasive percutaneous nephrolithotomy through the approach of upper edge of the llth fib was better than through the approach of conventional lower edge of 11 subcostal margin,with shorter percutaneous renal access distance,and higher stone-free rate.
