中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
46-47
,共2页
经皮肾镜%输尿管镜碎石术%肾结石%输尿管结石
經皮腎鏡%輸尿管鏡碎石術%腎結石%輸尿管結石
경피신경%수뇨관경쇄석술%신결석%수뇨관결석
Percutaneous nephrolithotomy%Ureteroscopic lithotripsy%Renal calculi%Ureteral calculi
目的：探讨经皮肾镜联合输尿管镜碎石术同期治疗同一侧肾结石合并输尿管结石的临床疗效。方法：2013年3月-2014年7月收治肾结石合并输尿管结石患者56例，患者采用腰麻+持续硬膜外麻醉，应用经皮肾镜联合输尿管镜、超声诊断仪、第四代超声气压弹道碎石清石系统、ACU-H2钬激光进行操作。结果：本组56例肾结石合并输尿管结石患者均成功手术，手术时间(78.6±15.3)min，肾结石大小(1.5～1.8)cm×(2.0～2.7)cm，输尿管结石大小(0.4～1.3)cm×(0.50～2.3)cm，术中出血量30～400 mL，住院时间(7.5±1.6)d。术后复查，结石均彻底清除，结石清除率100%。结论：经皮肾镜联合输尿管镜碎石术治疗同一侧肾结石合并输尿管结石，手术成功率高，结石清除率高，操作简便，出血少，创伤小，值得临床推广。
目的：探討經皮腎鏡聯閤輸尿管鏡碎石術同期治療同一側腎結石閤併輸尿管結石的臨床療效。方法：2013年3月-2014年7月收治腎結石閤併輸尿管結石患者56例，患者採用腰痳+持續硬膜外痳醉，應用經皮腎鏡聯閤輸尿管鏡、超聲診斷儀、第四代超聲氣壓彈道碎石清石繫統、ACU-H2鈥激光進行操作。結果：本組56例腎結石閤併輸尿管結石患者均成功手術，手術時間(78.6±15.3)min，腎結石大小(1.5～1.8)cm×(2.0～2.7)cm，輸尿管結石大小(0.4～1.3)cm×(0.50～2.3)cm，術中齣血量30～400 mL，住院時間(7.5±1.6)d。術後複查，結石均徹底清除，結石清除率100%。結論：經皮腎鏡聯閤輸尿管鏡碎石術治療同一側腎結石閤併輸尿管結石，手術成功率高，結石清除率高，操作簡便，齣血少，創傷小，值得臨床推廣。
목적：탐토경피신경연합수뇨관경쇄석술동기치료동일측신결석합병수뇨관결석적림상료효。방법：2013년3월-2014년7월수치신결석합병수뇨관결석환자56례，환자채용요마+지속경막외마취，응용경피신경연합수뇨관경、초성진단의、제사대초성기압탄도쇄석청석계통、ACU-H2화격광진행조작。결과：본조56례신결석합병수뇨관결석환자균성공수술，수술시간(78.6±15.3)min，신결석대소(1.5～1.8)cm×(2.0～2.7)cm，수뇨관결석대소(0.4～1.3)cm×(0.50～2.3)cm，술중출혈량30～400 mL，주원시간(7.5±1.6)d。술후복사，결석균철저청제，결석청제솔100%。결론：경피신경연합수뇨관경쇄석술치료동일측신결석합병수뇨관결석，수술성공솔고，결석청제솔고，조작간편，출혈소，창상소，치득림상추엄。
Objective:To explore the clinical curative effect of percutaneous nephrolithotomy combined with ureteroscopic lithotripsy for the treatment of the same side renal calculi complicated with ureteral calculi.Methods:56 patients with renal calculi complicated with ureteral calculi were selected from March 2013 to July 2014.Patients were given lumbar anesthesia plus continuous epidural anesthesia,and were given percutaneous nephrolithotomy combined ureteroscope,ultrasonic diagnostic apparatus,the fourth generation of pneumatic and ultrasonic lithotripsy lithotripsy,holmium laser ACU-H2.Results:The operation of 56 patients with renal calculi complicated with ureteral calculi was successful;the operation time was (78.6±15.3)min;renal calculi size was (1.5~1.8)cm×(2~2.7)cm;ureteral calculi size was (0.4~1.3)cm×(0.50~2.3)cm;the amount of bleeding during operation was 30~400 mL;the time of hospitalization was (7.5±1.6)d.Postoperative examination,stones were completely removed, and the stone clearance rate was 100% .Conclusion:Ercutaneous nephrolithotomy combined with ureteroscopic lithotripsy was used to treat the same side renal calculi complicated with ureteral calculi;the success rate of operation was high;the stone clearance rate was high;the operation was simple;the bleeding was less;the trauma was small.It was worthy of clinical application.
