摘要
目的探讨微创经皮肾镜取石术（MPCNL）治疗输尿管上段嵌顿性结石的方法和疗效．方法回顾性分析45例采用微创经皮肾镜取石术治疗输尿管上段结石的临床资料．采用X线定位、B超定位、盲穿三种方法经皮肾穿刺造瘘，建立16F经皮肾通道，使用输尿管镜，结合气压弹道碎石、灌注泵冲洗进行手术．结果造瘘后手术时间15～110min，平均42min．术中平均出血量30mL，术中、术后均未出现严重并发症．一次性结石取净率100％．平均住院9d，术后平均住院3．5d．结论MPCNL治疗输尿管上段嵌顿性结石疗效确切，具有诸多的优点，值得推广应用．
Objective To evaluate the surgical method and curative effect of minimally invasive percutaneous nephrolithotomy （MPCNL） in treatment of impacted proximal ureteric calculi. Methods 45 cases of proximal ureteric calculi treated with MPCNL were studied retrospectively. Percutaneous nephrostomy was estabhshed under the guide of X - ray, B - ultrasound and naked eye, and the nephropathy was extended to F16 through invasive percutaneous. Stones were taken out by ureteropyeloscopic pneumatic lithotripsy with help of hydraulic perfusion pump. Results The surgical time was 15 - 110 min with the average of 42 min after percutaneous nephrostomy. The average blood loss volume was 30 mL; no severe complications were occurred in the intra - or post - operative time. The rate of complete clearance of stones was 100% in first attempt. The mean hospital stay was 9 d, and the mean postoperative hospital stay was 3.5 d. Conclusion MPCNL used to treat the impacted proximal urethral calculi have satisfied effects and a lot of merits.
出处
《昆明医学院学报》
2006年第4期122-124,共3页
Journal of Kunming Medical College
