[1]陈明,王常箐,唐耿忠,等.二期手术处理33例输尿管上段结石合并肾积脓[J].中华腔镜泌尿外科杂志(电子版),2013,(05):18-20.
　CHEN Ming,WANG Chang-qing,TANG Gen-zhong,et al.The experience of two-stage PCNL in the treatment of upper ureteral calculi associated with ipsilateral pyonephrosis[J].,2013,(05):18-20.
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二期手术处理33例输尿管上段结石合并肾积脓()
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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:
2013年05期
页码:
18-20
栏目:
出版日期:
2013-10-31

文章信息/Info

Title:
The experience of two-stage PCNL in the treatment of upper ureteral calculi associated with ipsilateral pyonephrosis
作者:
陈明; 王常箐; 唐耿忠; 廖述足
427000,湖南省张家界市第二人民医院泌尿外科
Author(s):
CHEN Ming; WANG Chang-qing; TANG Gen-zhong; LIAO Shu-zhu
关键词:
经皮肾镜; 肾积脓; 输尿管结石
摘要:
目的 探讨二期经皮肾镜取石术处理输尿管上段结石合并同侧肾积脓的围手术期处理要点.方法 回顾分析我院收治的33例输尿管上段结石合并肾积脓患者的临床资料,所有患者均采用一期经皮肾穿刺造瘘配合抗感染治疗,待引流液变清、炎症症状消失及实验室指标好转后3～5 d行二期经瘘道输尿管镜下钬激光碎石取石术,术中常规留置输尿管内支架引流及肾造瘘管,观察手术的效果及并发症.结果 所有手术均取得成功,无大出血、水中毒、菌血症等并发症发生；33例术后复查无明显结石残留；随访3～12个月,1例肾功能无法恢复,行患肾切除术,其余患肾功能得到不同程度恢复.结论 早期诊断上段结石合并肾积脓是治疗成功的关键,积极有效的肾造瘘引流并适时行二期碎石取石可减少手术并发症的发生,同时可有效的保护患肾功能.

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更新日期/Last Update: 1900-01-01