摘要
目的 探讨术前X线摄片和B超定位引导建立经皮肾穿刺通道 ,行微创经皮肾输尿管镜取石术 (MPCNL)治疗肾结石和输尿管上段结石的手术方法和临床价值。方法 术前将病人模拟手术体位 ,作X线下结石摄片定位与B超下肾穿刺点、穿刺方向及深度定位 ,建立经皮肾穿刺通道 ,对 15 8例肾结石、输尿管上段结石病人行微创经皮肾穿刺输尿管镜取石术治疗。结果 15 8例结石病人中 15 3例手术成功 ,5例失败 ,无一例中转开放性手术。 12 0例肾结石总取净率 88 33% ,肾盂梗阻解除率 10 0 %。 4 9例输尿管上段结石 (包括合并肾结石 11例 )均一次取净结石 ,总取净率 10 0 %。结论 术前B超和X线摄片定位引导建立经皮肾穿刺通道行微创经皮肾输尿管镜取石术可减少病人和术者的射线接受量 ,技术可行。
Objective To explore the surgical means and clinical value of developing renal tract for minimally invasive percutaneous nephrostolithotomy before operation under the guidance of xanthippe and B-uitrasound.Methods Developing renal tract for minimally invasive percutaneous nephrostolithotomy before operation under the guidance of xanthippe and B-Uitrasound was performed on 120 patients with renal calculi and 49 patients with proximal ureteral calculi.Results All the cases were cured without open surgery.Of the 120 cases,stone-free rate was 88.33%.Of the 49 cases,stone-free rate was 100%.Conclusion Developing reanl tract before operation under the guidance of xanthippe and B-uitrasound is feasible to the MPCNL and is,indeed,applicable to urologic centers.
出处
《中国基层医药》
CAS
2004年第4期417-419,共3页
Chinese Journal of Primary Medicine and Pharmacy
