摘要
目的:探讨经皮肾镜碎石清石术治疗难治性巨大肾结石的临床疗效.方法:回顾性分析采用经皮肾镜结合EMSⅢ代碎石清石系统治疗36例复杂性巨大肾结石患者的临床资料.结石位于肾上盏6例,中盏10例,下盏3例,肾盂14例,输尿管上端3例.结石直径1.5～6.0 cm,平均2.7 cm,其中巨大鹿角状结石12例.结果:肾镜直视下一期取石32例,1周后二期取石2例.34例2周内结石全部排净,另外2例术后2个月有结石残留,残留结石直径均小于0.8 cm,行一次体外碎石后排净.平均手术时间58 mtn,术中估计出血量平均50 ml,均无需输血,无肾切除、肾穿孔等严重并发症发生.术后随访3～6个月,肾功能均有不同程度改善.结论:经皮肾镜下使用EMSⅢ代碎石清石系统治疗肾结石具有损伤小、手术时间短、出血少、恢复快等优点,可以使绝大多数患者避免开放手术.
Objective： To evaluate the clinical efficacy of percutaneous nephrolithotomy with ultrasonic and pneumatic lithotripter （EMSⅢ） for the renal calculi. Methods：Thirty six patients with complicated renal calculi received percutaneous nephrolithotomy preformed by ultrasonic and pneumatic lithotripter. Of these 36 cases, 28 male and 8 female, mean diameter of calculi is 2.7 cm （range 1.5-6.0 cm）, huge staghorn calculi in 12 cases. Results：The stones were cleared off 31 out of 36, one section in 32 and two sections in 2. There two patients were treated by ESWL due to residual stones. Average operative duration was 58 minutes. No obvious complications were observed. Intraoperative blood loss was 50 ml. Conclusions： Percutaneous nephrolithotomy with ultrasonic and pneumatic lithotripter（EMS） for complicated renal calculi has the advantages of mini-invasion, less operative duration, rapid recovery, safety and effectiveness. As a result, open operation could be avoided in most patients.
出处
《临床泌尿外科杂志》
2005年第9期526-527,共2页
Journal of Clinical Urology
基金
吉林大学2004年创新基金项目
关键词
肾结石
经皮肾镜
碎石清石术
Renal calculi
Percutaneous nephrolithotomy
Ultrasonic and pneumatic lithotripter
