摘要
目的:探讨在开放性肾铸型结石手术中应用气压弹道碎石术的疗效。方法:28例肾铸型结石患者在开放手术中应用气压弹道碎石术治疗。结果:28例患者均取石成功。术中不阻断肾蒂血流,手术平均时间137 min,术中需输血者5例,平均输血量112 mL,无术后继发出血等并发症。术后1个月B超、KUB加IVU复查,肾脏显影正常,积水减少,无肾内外狭窄;结石一次性取净24例,残余结石4例,其中3例经ESWL治愈,1例术后2周输尿管镜经肾造瘘瘘道行气压弹道碎石、取石成功。结论:该方法操作简便,易于掌握,具有术中出血少、结石一次性取净率高、肾功能受损轻等优点,疗效满意。
Objective：To explore the effectiveness of Pneumatic ballistic lithotripsy during nephrolithotomy of nephritic staghorn calculi. Methods： Pneumatic ballistic lithotripsy during nephrolithotomy for nephritic staghorn calculi was performed in 28 cases. Results： All cases were successfully treated in operation and no interception of renal pedicel. Operative average time was 137 min. Blood transfusion during the operation was necessary in 5 cases with an average of 112 mL. In a month postoperation,KUB ＆ IVU indicated a development of normal kidney, improved hydronephrosis, no intrarenal and extrarenal stricture. Single-time clearance in 24 cases and remnant calculus in 4 cases,in which 3 cases were cured by ESWL and 1 case was successfully treated in puncture percutaneous nephrostomy lithotripsy after two weeks. Conclusion： The operation has the advantages of simple,less bleeding, high single-time clearance rate,slight impairment of renal function and a good efficacy.
出处
《实用临床医学（江西）》
CAS
2006年第3期77-78,82,共3页
Practical Clinical Medicine
关键词
外科手术
气压弹道碎石术
肾铸型结石
surgical
pneumatic ballistic lithotrlpsy
nephritic staghorn calculi
