摘要
目的研究斜仰半截石位行经皮肾镜取石术(PCNL)治疗肾脏与输尿管上段结石的疗效与安全性。方法分析该院2010年8月至2012年12月采用斜仰半截石位行B超引导PCNL治疗69例肾脏或输尿管上段结石的临床资料。患者年龄15～66岁,平均(38±15)岁,肾结石平均最大径3.0cm。输尿管上段结石平均最大径1.6cm。结果所有病例均在B超引导穿刺全部成功,平均手术时间63min,术中平均出血量92mL,一次性结石清除率为100.0%,无严重并发症。结论斜仰半截石位PCNL治疗肾脏与输尿管上段结石具有创伤小,结石清除率高的优点。
Objective To evaluate the therapeutic effect and safety of percutaneous nephrolithotomy（PCNL） in oblique half li- thotomy position for the treatment of renal or upper ureteral stones. Methods The clinical results of 69 patients with renal or upper ureteral stones treated with PCNL in oblique half lithotomy position from August 2010 to December 2012 were retrospectively ana- lyzed. The average age was （38± 15） years（15-66 years）, the average maximum diameter of the renal stone was 3.0 era, and the average maximum diameter of the upper ureteral calculi was 1.6 era. Results 69 eases were treated successfully. The mean opera- tion time was 63 rain. The average amount of bleeding in the operation was 92- mL. The stone clearance rate was 100.0%. No severe complications were oceured in these patients. Conclusion PCNL in oblique half lithotomy position is safe and effective in treating renal or upper ureter stones. It may offer advantages with respect to less invasion and high stone clearance rate.
出处
《重庆医学》
CAS
CSCD
北大核心
2013年第20期2335-2336,共2页
Chongqing medicine
基金
贵州省科技厅基金项目(黔科合J字[2011]2254号)
贵州省科教青年英才培养工程(黔省专合字[2012]185号)
关键词
肾造口术
经皮
斜仰
半截石位
nephrolithotomy, percutaneous
oblique supine position
half lithotomy position
