摘要
目的探讨非同步螺旋CT辅助定位盲穿建立皮肤肾脏通路,行微创经皮肾穿刺输尿管镜取石术(MPCNL)治疗嵌顿性输尿管上段结石的可行性、安全性和临床疗效。方法对102例单侧嵌顿性输尿管上段结石患者,采用非同步螺旋CT辅助定位盲穿MPCNL治疗。结果102例均Ⅰ期成功穿刺建立皮肤肾脏通路,Ⅰ期成功碎石,结石清除率为100%,手术时间平均55min,术中估计出血量平均30mL。无气胸、大出血、输尿管穿孔、腹腔脏器损伤等严重并发症发生。结论非同步螺旋CT辅助定位盲穿MPCNL治疗嵌顿性输尿管上段结石方便可行、安全高效。
Objective To evaluate the feasibility,security and the clinical outcomes of minimally invasive percutaneous nephrolithotomy （MPCNL） with asynchronous spiral CT localization to establish percutaneous access in the treatment of lupper ureter stone with granulation. Methods 102 cases of unilateral lupper ureter stones with granulation underwent MPCNL with asynchronous spiral CT localization. Results 102 cases established percutaneous access successfully in first operation, and the overall rate of fragmentation for unilateral lupper ureter stones was 100%. The mean operative time was 55min. Mean blood loss was 30mL. No perioperative severe complications such as pneumatothorax, hemorrhoea, ureteral perforation,trauma of abdominal organ occurred.Conclusion M-PCNL with asynchronous spiral CT localization is a convenient, feasible, safe and highly effective therapy for the treatment of lupper ureter stone with granulation.
出处
《中国现代医生》
2009年第16期66-67,共2页
China Modern Doctor
