[1]温晓飞,叶华茂,王跃闽,等.无管化微创经皮肾镜取石术治疗大体积输尿管上段结石[J].中华腔镜泌尿外科杂志(电子版),2010,(04):266-269.
　WEN Xiao-fei,YE Hua-mao,WANG Yue-min,et al.Tubeless minimally invasive percutaneous nephrolithotomy in treatment of large proximal ureteral calculi[J].,2010,(04):266-269.
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无管化微创经皮肾镜取石术治疗大体积输尿管上段结石()
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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:
期数:
2010年04期
页码:
266-269
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Tubeless minimally invasive percutaneous nephrolithotomy in treatment of large proximal ureteral calculi
作者:
温晓飞; 叶华茂; 王跃闽; 仇广明; 张国强; 高旭; 孙颖浩
第二军医大学附属长海医院泌尿外科,上海,200433，同济大学附属东方医院泌尿外科,上海,200120
Author(s):
WEN Xiao-fei; YE Hua-mao; WANG Yue-min; QIU Guang-ming; ZHANG Guo-qiang; GAO Xu; SUN Ying-hao
关键词:
经皮肾镜取石术; 无管化; 输尿管结石; 微创手术
摘要:
目的 评价无管化的微创经皮肾镜取石术治疗输尿管上段大体积结石的安全性和可行性.方法 自2008年08月至2009年09月,连续的47例直径大于1.0 cm的输尿管上段结石患者,接受了一期微创经皮肾镜下钬激光碎石取石术.手术采用全麻,经皮肾穿刺和通道扩张在超声引导下进行,建立16～18 F的通道,取石后常规留置双J管.结果 47例患者均手术成功,其中45例术后未留置肾造瘘管,列入研究组进行统计.施行无管化微创经皮肾镜的45例患者,平均手术时间48.18±8.25 min,术前术后血红蛋白分别为13.42±1.91 g/dl,12.65±1.78 g/dl,无输血病例,无胸膜损伤,无其他临近脏器损伤.结石清除率为95.6%.无术后严重感染(T＞38.5℃)病例,无术后明显尿外渗.术后需要镇痛药物的患者2例,术后平均留置导尿管26.08±5.54 h,术后平均住院2.54±0.66 d.结论 无管化微创经皮肾镜取石术治疗输尿管上段大体积结石,安全有效、患者术后恢复快、疼痛不适少、并发症少.

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更新日期/Last Update: 1900-01-01