摘要
采用经皮肾穿刺置入造瘘管建立微造瘘通道后 ,同期经皮肾输尿管镜气压弹道碎石治疗上尿路结石患者 8例。结果结石一期一次取净 4例 ,3～ 5日二次取净 2例 ,其余 2例二次取石后肾下极肾盏内仍有小块结石残留 ,经体外震波碎石后结石排空。 8例患者平均住院 7.5天 ,术中及术后未出现并发症。认为 Trocar造瘘管创伤小 ,术中出血及并发症少 ,可进入大部分肾盏及输尿管上段 ,视野清晰 ,大块结石碎屑能通过管腔冲出体外 ,取石效率提高 ;术毕能置入 F14或 F12气囊尿管 ,肾盂引流通畅 。
Percutaneous small tract puncture nephrostomy followed by endo ureteroscopic lithotripsy through the chunnel of the F16 trocar in the corresponding period and it was carried out on 8 cases(of 4 were big buckhorns renal stone , of 2 were partial buckhorns renal stone with multiple renal stones in the lower calyx and of 2 were upper ureteral stone). The stones were cleared off at one section in 4 cases, two sections in 2 and other 2 cases were cured by ESWL after two sections. All cases had been in hospital for 7.5 days averagely without complications. The merits of the procedure are the puncture tract with the chunnel of F16 trocar being small with less trauma, suffering and bleeding,it is much more advancement that the trocar makes big pieces of stones move off easily ,the efficiency of lithotripsy is enhanced . F14 or F12 Foley's catheter could be posted in the renal pelvic so as to drain urine and to prevent bleeding.
出处
《山东医药》
CAS
北大核心
2002年第11期4-6,共3页
Shandong Medical Journal
