[1]汪溢,蔡鑫,朱家利.经皮肾穿刺气压弹道碎石治疗肾结石58例[J].中华腔镜泌尿外科杂志(电子版),2008,(03):31-33.
 WANG Yi,CAI Xin,ZHU Jia-li.Percutaneous ureteroscope lithotripsy with pneumatic power (reports of 58 cases)[J].,2008,(03):31-33.
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经皮肾穿刺气压弹道碎石治疗肾结石58例()
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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:
2008年03期
页码:
31-33
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Percutaneous ureteroscope lithotripsy with pneumatic power (reports of 58 cases)
作者:
汪溢蔡鑫朱家利
海南省农垦三亚医院泌尿外科,572000
Author(s):
WANG YiCAI XinZHU Jia-li
关键词:
经皮穿刺肾结石输尿管镜
摘要:
目的 探讨经皮肾穿刺采用输尿管镜联合气压弹道碎石治疗肾结石的安全性和疗效.方法 回顾性分析2005年3月至2006年12月采用经皮肾穿刺应用输尿管镜联合气压弹道碎石治疗58例肾结石(结石直径为1.8 cm~3.5 cm)患者的临床资料,评价其安全性和疗效.结果 本组58例,46例Ⅰ期成功取净结石(79.31%).其中结石较大的6例,术后一周再次经.肾造瘘通道行气压弹道碎石均获成功;3例肾盂残余结石>0.5 cm行体外冲击波碎石(EWSL)治疗;3例残余结石<0.5cm而未作处理.术后3个月复查腹部平片和静脉肾盂造影,58例结石均排净;25例轻度肾积水消失,26例中、重度积水者改善明显.手术时间30~100 min,平均65 min.术中平均出血100 ml,无肠道损伤等严重并发症发生.结论 采用经皮肾穿刺输尿管镜气压弹道碎石治疗肾结石具有创伤小、出血少、成功率高及并发症少等优点,治疗肾结石安全有效,值得临床推广应用.

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更新日期/Last Update: 1900-01-01