摘要
目的探讨超声引导下经上盏径路微创经皮肾碎石术(MPCNL)治疗上尿路结石的疗效及安全性。方法2006年3月至2009年3月,对76例82侧上尿路结石使用超声引导下经上盏径路MPCNL。穿刺点选择在肩胛下线和腋后线之间第10、11肋间,超声定位下穿刺后组上盏建立通道,使用U-100双频双脉冲Nd:YAG激光碎石。结果82侧手术均获成功,平均手术时间(45±10)min。一期结石取净率为81.7%(67/82),二期结石取净率为73.3%(11/15)。输血1例,胸腔积液2例,无重要脏器损伤及其他严重并发症。结论超声引导下经上盏径路微创经皮肾镜碎石术高效、微创、安全。
Objective To investigate the efficacy and safety of upper pole access for minipercuta-neous nephrolithotomy （MPCNL） under B-ultrasound guidance for upper urinary calculi treatment. Methods From March 2006 to March 2009, we treated 82 units （76 patients） of upper urinary calculi by upper pole access for MPCNL under B-ultrasound guidance.The skin puncture point had been located in this scope： the 10th or 11th intercostals, inner from postaxillary line and out of infrascapular line. The targeted punc-ture access is superior posterior calyx under B-ultrasound guidance. The lithotripsy device which we employed was U-100 Frequency-Doubled Double-Pulse Nd： YAG laser. Remits 82 procedures were all successful. The average operation time is （45±10）min. Stone-free rate is 81.7%（67/82） for single procedure, and 73.3% （11/15）for secondary stage. 1 case had blood transfusion and 2 cases had hydrothorax. The patients had no important organ injury and no other severe complications. Conclusions The upper pole access for MPC- NL under B-ultrasound guidance is a high efficient, micro-invasive, safe technique with high performance.
出处
《中华腔镜泌尿外科杂志（电子版）》
2009年第6期10-12,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
MPCNL
上盏径路
上尿路结石
Mini-percutaneous nephrolithotomy
Upper pole access
Upper urinary calculi
