中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
4期
29-30
,共2页
肾造瘘口%经皮%肾结石%B超引导%碎石术
腎造瘺口%經皮%腎結石%B超引導%碎石術
신조루구%경피%신결석%B초인도%쇄석술
Nephrostomy%Percutaneous%Kidney calculi%Ultrosound guidance%Lithoeripsy
目的 探讨B超引导下微创经皮肾镜取石术治疗肾结石的优势及临床效果.方法 2007年5月至2011年4月采用B超引导下微创经皮肾镜取石术治疗肾结石187例,肾结石长径2.0～5.5 cm,平均2.8 cm,B超引导下选取肾盏穿刺,扩张经皮肾通道至F16,行经皮输尿管镜下气压弹道碎石术.结果 187例均一期成功建立经皮肾通道并碎石.单通道取石165例(88.2％),双通道取石22例(11.8％),一期结石清除率为83.4％(156/187).二期取石21例(11.2％),辅助体外冲击波碎石治疗10例(5.3％).手术时间60～150 min,平均110 min.术后发热7例(3.7％).无血气胸及腹腔脏器损伤,住院天数7～12d,平均10 d.结论 B超引导下微创经皮肾镜取石术治疗肾结石具有定位准确、工作通道建立安全、简便,创伤小,并发症少,出血少,结石清除率高等优点,是一种安全有效的方法.
目的 探討B超引導下微創經皮腎鏡取石術治療腎結石的優勢及臨床效果.方法 2007年5月至2011年4月採用B超引導下微創經皮腎鏡取石術治療腎結石187例,腎結石長徑2.0～5.5 cm,平均2.8 cm,B超引導下選取腎盞穿刺,擴張經皮腎通道至F16,行經皮輸尿管鏡下氣壓彈道碎石術.結果 187例均一期成功建立經皮腎通道併碎石.單通道取石165例(88.2％),雙通道取石22例(11.8％),一期結石清除率為83.4％(156/187).二期取石21例(11.2％),輔助體外遲擊波碎石治療10例(5.3％).手術時間60～150 min,平均110 min.術後髮熱7例(3.7％).無血氣胸及腹腔髒器損傷,住院天數7～12d,平均10 d.結論 B超引導下微創經皮腎鏡取石術治療腎結石具有定位準確、工作通道建立安全、簡便,創傷小,併髮癥少,齣血少,結石清除率高等優點,是一種安全有效的方法.
목적 탐토B초인도하미창경피신경취석술치료신결석적우세급림상효과.방법 2007년5월지2011년4월채용B초인도하미창경피신경취석술치료신결석187례,신결석장경2.0～5.5 cm,평균2.8 cm,B초인도하선취신잔천자,확장경피신통도지F16,행경피수뇨관경하기압탄도쇄석술.결과 187례균일기성공건립경피신통도병쇄석.단통도취석165례(88.2％),쌍통도취석22례(11.8％),일기결석청제솔위83.4％(156/187).이기취석21례(11.2％),보조체외충격파쇄석치료10례(5.3％).수술시간60～150 min,평균110 min.술후발열7례(3.7％).무혈기흉급복강장기손상,주원천수7～12d,평균10 d.결론 B초인도하미창경피신경취석술치료신결석구유정위준학、공작통도건립안전、간편,창상소,병발증소,출혈소,결석청제솔고등우점,시일충안전유효적방법.
Objective To study the advantage and clinical effect of minimally invasive percutaneous nephrolithotomy (MPCNL) in treatment of renal calculi under ultrosound guidance.Methods From May 2007 to April 2011,187cases of renal calculi underwent MPCNL under ultrosound guidance.The stone measured from 2.0 to 5.5 cm (average:2.8 cm) in length.After channel were dilated to F16,MPCNL were performed under F8/9.8 Ureteroscope.Clinical data including operation time,complications and stone free rate were analyzed retrospectively.Results All the operations were completed in one session,single tract was used in 165 cases(88.2％),double tracts were used in the other 22 cases (11.8％),the stone free rate after one session was 83.4％ (156/187),21 cases (11.2％) received a second-session MPCNL,10 cases (5.3％)underwent ESWL after operation,the mean operating time was 110 min(range from 60 to 150 min).Postoperative surgery-related infection rate was 3.7％ (7/187).No pleural or important organ injury occurred.Hospital stay was 7-12 d,with a mean of 10 d.Conclusions Minimally invasive percutaneous nephrolithotomy under ultrosound guidance in treatment of renal calculi has less bleeding,high clearance rate,minimally invasion,less complications,short hospital stay,and is a highly efficient and safe technique.
