[1]赵书晓 吴杰英 覃智标 黄新 雷华 黄崛倬 狄金明.18F通道经皮肾镜碎石取石术联合尿石通治疗肾结石[J].中华腔镜泌尿外科杂志(电子版),2016,10(04):259-262.[doi:10.3877/cma.j.issn.1674-3253.2016.04.011 ]
 Zhao shuxiao,Wu jieying,Qin Zhibiao,et al.18 F-channel percutaneous nephrolithotomy with holmium laser combined with Niaoshitong for the treatment of renal calculi[J].,2016,10(04):259-262.[doi:10.3877/cma.j.issn.1674-3253.2016.04.011 ]
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18F通道经皮肾镜碎石取石术联合尿石通治疗肾结石()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年04期
页码:
259-262
栏目:
临床研究
出版日期:
2016-08-31

文章信息/Info

Title:
18 F-channel percutaneous nephrolithotomy with holmium laser combined with Niaoshitong for the treatment of renal calculi
作者:
赵书晓 1吴杰英 2覃智标 1黄新 1雷华 1黄崛倬 1狄金明 2
530023南宁,广西中医药大学第一附属医院泌尿外科 1;510630广州,中山大学附属第三医院泌尿外科 2
Author(s):
Zhao shuxiao1 Wu jieying2 Qin Zhibiao1 Huang Xin1 Lei Hua1 Huang Juezhuo1 Di jinming2.
Department of Urology, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530200, China; 2Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
肾造口术经皮钬激光肾结石尿石通
DOI:
10.3877/cma.j.issn.1674-3253.2016.04.011
摘要:
目的观察 18 F通道经皮肾镜钬激光碎石联合尿石通治疗肾结石的疗效。方法回顾性分析采用 18 F通道 PCNL钬激光碎石治疗 196例肾结石患者临床资料,根据术后是否辅以尿石通治疗分为两组,观察两组的手术时间、手术碎石率、结石排净率及并发症发生率等。结果手术均取得成功,平均手术时间( 76±20)min。一次手术结石取净结石 159例( 81.12%)。两组在年龄、性别、手术时间、手术清石率、并发症发生率等方面差异无统计学意义( P>0.05);加用尿石通组最终排石率明显高于未加尿石通组( 99.1% vs 93.1%,P<0.05)。196例患者均有效解除梗阻,无一例出现大出血、全身性感染及中转开放手术。结论 18 F通道 PCNL钬激光碎石治疗肾结石具有手术创伤小、严重不良并发症少、手术时间短、术后恢复较快等优点,术后加用尿石通辅助排石治疗,利于碎石排出,提高最终排石率,临床疗效满意。

参考文献/References:

[1]余小祥 ,张瑞明 ,周大庆 ,等. 502例尿路结石患者资料分析[J].华南国防医学杂志, 2012, 26(6): 599-601.
[2] Wilhelm K, Hein S, Adams F, et al. Ultra-mini PCNL versus flexible ureteroscopy: a matched analysis of analgesic consumption and treatment-related patient satisfaction in patients with renal stones 10-35 mm [J]. World J Urol, 2015, 33 (12): 2131-2136.
[3] Yesil S, Ozturk U, Goktug HN, et al. Previous open renal surgery increased vascular complications in percutaneous nephrolithotomy (PCNL) compared with primary and secondary PCNL and extracorporeal shock wave lithotripsy patients: a retrospective study[J]. Urol Int, 2013, 91(3): 331-334.
[4]陶勇 ,余刚 ,彭玉兰 ,等.两种经皮肾镜联合应用治疗鹿角形肾结石的疗效观察 [J].中华腔镜泌尿外科杂志:电子版 , 2015, 9 (4): 15-19.
[5] Kang M, Son H, Jeong H, et al. Clearance rates of residual stone fragments and dusts after endoscopic lithotripsy procedures using a holmium laser: 2-year follow-up results [J]. World J Urol, 2016, 21, [Epub ahead of print]
[6]周志华 ,吴杰英 ,李科 ,等.微通道经皮肾镜碎石联合取石网篮治疗复杂性肾结石的应用 [J/CD].中华腔镜泌尿外科杂志 :电子版, 2015, 9(3): 26-28.
[7]蒋雷鸣,孙文国,袁振.标准通道与微通道经皮肾镜碎石取石术治疗肾结石的疗效分析 (附视频 )[J/CD].中华腔镜泌尿外科杂志:电子版, 2012, 6(5): 9-12.
[8] Wang Y, Hou Y, Jiang F, et al. Standard-tract combined with mini-tract in percutaneous nephrolithotomy for renal staghorn calculi[J]. Urol Int, 2014, 92(4): 422-426.
[9]宋永琳 ,李炯明 ,刘建和 ,等.经皮肾镜钬激光联合超声碎石治疗鹿角形肾结石:附 36例报告 [J/CD].中华腔镜泌尿外科杂志 :电子版, 2012, 6(3): 195-198.
[10] Hamamoto S, Yasui T, Okada A, et al. Endoscopic combined intrarenal surgery for large calculi: simultaneous use of flexible ureteroscopy and mini-percutaneous nephrolithotomy overcomes the disadvantageous of percutaneous nephrolithotomy monotherapy[J]. J Endourol, 2014, 28(1): 28-33.
[11]张昱,朱文涛,薛培,等.尿石通治疗输尿管结石疗效的 Meta分析[J].世界中西医结合杂志, 2015, 10(3): 297-299.
[12]谢志强 ,武日平 ,郭汉基 ,等.尿石通丸治疗 PCNL术后残石 86例疗效观察[J].新中医, 2014, 46(5): 126-128.
[13]韩跃辅 ,江翠芬 ,姚新花 ,等.经皮肾镜双导管超声碎石术配合尿石通治疗肾铸型结石 50例疗效观察 [J].新中医 , 2013, 45(6): 115-116.

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备注/Memo

备注/Memo:
通讯作者:狄金明,Email:746379204@qq.com
本文编辑:阮星星 李文标) 赵书晓,吴杰英,覃智标等. 18 F通道经皮肾镜碎石取石术联合尿石通治疗肾结石[J/CD].中华腔镜泌尿外科杂志:电子版, 2016, 10(4
更新日期/Last Update: 2016-08-30