摘要
目的探讨三步扩张通道法建立标准通道经皮肾镜碎石术（Percutaneous Nephrolithotomy，PCNL）治疗肾结石的有效性和安全性。方法回顾性分析141例采用三步扩张通道法建立标准通道经皮肾镜碎石术的临床资料。结果141例患者共行三步扩张通道法建立标准通道经皮肾镜碎石术186次，所有患者均一次性成功建立通道，单通道经皮肾镜碎石术96例（68．1％），2通道经皮肾镜碎石术45例（32．0％），平均建立通道时间12．3±4．8min，术中术后主要并发症为出血，术中术后接受输血患者4例，其中2例选择性肾动脉栓塞术，未出现感染性休克病例。结论三步扩张通道法建立标准通道经皮肾镜碎石术治疗肾结石安全有效。
Objectives To investigate the effect and safety of three - step dilation the channel in Standard - tract percutaneous nephrolithotomy（PCNL）. Methods 145 patients with urinary calculi by three - step dilation the channel in PCNL were analyzed. Results All patients were successful in one - session access, in which 96 PCNLs were accessed by single tract（68.1% ）, 45 PCNLs by two tracts（32.0% ）. The mean first accessing time were 12.3 ± 4.8min. During and after operation, 4 cases needed transfusion and 2 patients underwent selective embolization of renal artery. No septic shock occurred. Conclusions Standard - tract PNL aeeessed by three - step dilation with ultrasound -guided puncture is safe and effective.
出处
《国际泌尿系统杂志》
2012年第4期447-451,共5页
International Journal of Urology and Nephrology
关键词
肾结石
外科手术
内窥镜
碎石术
Kidney Calculi
Surgical Procedures, Endoscopic
Lithotripsy
