摘要
目的评价超声引导标准通道经皮肾镜下气压弹道碎石联合超声碎石（PCNL）治疗复杂性肾结石的效果。方法超声引导标准通道PCNL治疗复杂性肾结石病人29例，其中结石直径〉2．5cm者25例，鹿角形结石18例，多发结石23例，感染性结石2例，孤立肾结石3例。结果单通道取石26例，双通道取石2例，中转开放手术1例，结石清除率为71．4％（20／28）。手术时间为40～260min，平均130min。术中出血1例放置肾造瘘管改二期手术。术后除1例因肾动静脉瘘行肾动脉栓塞，未发生术后大出血及感染情况。结论超声引导下标准通道PCNL治疗复杂性肾结石安全、有效；对于严重并发症应足够重视，并随时做好应对措施。
Objective To evaluate the effects of ultrasound guided percutaneous nephrolithotomy （PCNL） combined with pneumatic and uhrasosonic lithotripsy in the treatment of complex renal calculus. Methods This tecnique was applied in 29 patients with complex renal stone, of whom, the size of stone of 〉2. 5 cm was found in 25 cases, staghorn sone in 18, multiple stones in 23, infective stone in two, and stone in solitary kidney in three cases. Results Single channel technique was used in 26 cases, dual-parthway in two. The total stone clearnace was 71. 4% （20/28）. The mean time spent （range） in operation was 130 min （40-260）. Nephrostomy was done in one case due to intraoperative bleeding, who was scheduled for second-stage surgery. Postoperatively, embolization of renal artery was done in one cases due to renal arteriovenous fistula. No postoperative hemorrhage or infection was recorded. Conclusion The combined technique used in this study is effective and safe for complex renal calculus. A great attention shoud be paid to severe complications and coping measures be prepared any time.
出处
《青岛大学医学院学报》
CAS
2009年第6期561-562,564,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
碎石术
肾造口术
经皮
肾结石
治疗结果
Lithotripsy
Nephrostomy, percutaneous
Kidney stone
Treatment outcome
