[1]李茂胤,王德娟,黄文涛,等.无管化经皮肾镜碎石取石术治疗鹿角形肾结石[J].中华腔镜泌尿外科杂志(电子版),2016,10(01):40-43.[doi:10.3877/cma.j.issn.1674-3253.2016.01.011 ]
 Li Maoyin,Wang Dejuan,Huang Wentao,et al.Tubeless percutaneous nephrolithotomy for the treatment of staghorn stones[J].,2016,10(01):40-43.[doi:10.3877/cma.j.issn.1674-3253.2016.01.011 ]
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无管化经皮肾镜碎石取石术治疗鹿角形肾结石()
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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01期
页码:
40-43
栏目:
临床研究
出版日期:
2016-04-29

文章信息/Info

Title:
Tubeless percutaneous nephrolithotomy for the treatment of staghorn stones
作者:
李茂胤王德娟黄文涛胡成李科钟文文邱剑光
510630广州,中山大学附属第三医院泌尿外科
Author(s):
Li Maoyin Wang Dejuan Huang Wentao Hu Cheng Li Ke Zhong Wenwen Qiu Jianguang.
Department of Urology, t he Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
无管化肾造口术经皮肾结石
DOI:
10.3877/cma.j.issn.1674-3253.2016.01.011
摘要:
目的研究无管化经皮肾镜碎石取石术( PCNL)治疗鹿角形肾结石的安全性和有效性。方法回顾性分析 30例无管化 PCNL治疗鹿角形肾结石病例,按照年龄、性别、体重、结石面积、Guy's stone评分和麻醉 ASA分级进行配对,从我院病案数据库中选取了 30例标准化 PCNL治疗鹿角形肾结石病例。总结分析术后住院时间、手术时间、止痛药应用、一期结石清除率、并发症等数据。结果两组的年龄、性别、体重、结石面积、Guy's stone评分和麻醉 ASA分级均无统计学差异。无管化组与标准组术后平均住院时间分别为 5.5(2.3)d和 9.0(5.5)d(P<0.05),手术时间分别为 155(121)min和 180(94)min(P<0.05)。两组间一期结石清除率、术中血红蛋白下降值、术后输血率、发热率、肾周血肿发生率、胸水发生率和止痛药使用率差异均无统计学意义。结论对于已取得较好经验的经皮肾镜手术专家,采用不留置肾造瘘管的无管化 PCNL治疗鹿角形肾结石安全、有效,能缩短术后住院时间,而术后并发症的发生率与标准化 PCNL比较并无明显差异,但需掌握其适应证,对术中严重出血、手术侧肾盂穿刺液为脓性,术中出现集合系统穿孔、输尿管或肾盂输尿管连接部狭窄者等禁用。

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备注/Memo

备注/Memo:
基金项目:广东省科技计划社会发展项目( 2010B031600083)
通讯作者:邱剑光,Email:qjg702@qq.com
本文编辑:阮星星 李文标) 李茂胤,王德娟,黄文涛,等.无管化经皮肾镜碎石取石术治疗鹿角形肾结石[J/CD].中华腔镜泌尿外科杂志:电子版, 2016, 10(1
更新日期/Last Update: 1900-01-01