[1]王卫峰,米其武,张志刚,等.微创经皮肾镜取石术治疗复杂性肾结石65例[J].中华腔镜泌尿外科杂志(电子版),2009,(02):19-21.
　WANG Wei-feng,MI Qiwu,ZHANG Zhi-gang,et al.Treatment of complex renal stone with minimally invasive percutaneous nephrolithotomy (Report of 65 cases)[J].,2009,(02):19-21.
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微创经皮肾镜取石术治疗复杂性肾结石65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:
2009年02期
页码:
19-21
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Treatment of complex renal stone with minimally invasive percutaneous nephrolithotomy (Report of 65 cases)
作者:
王卫峰; 米其武; 张志刚; 刘绍虔; 罗杰鑫; 张增强
东莞市人民医院泌尿外科,523000
Author(s):
WANG Wei-feng; MI Qiwu; ZHANG Zhi-gang; LIU Shao-qian; LUO Jie-xin; ZHANG Zeng-qiang
关键词:
微创经皮肾镜; 取石术; 肾结石
摘要:
目的 探讨微创经皮肾镜(MPCNL)治疗复杂性肾结石的手术安全性和效果. 方法 采用MPCNL治疗复杂性肾结石65例,男48例,女17例.年龄20～68岁,平均45岁.KUB测量结石最大径2.0～7.3 cm,平均3.5 cm.超声显示32例肾积水.在X线下穿刺并建立16F经皮肾通道,肾镜下采用气压弹道碎石取石. 结果一次性取净结石43例,二次性取净结石22例,结石总取净率达85%.手术平均时间100 min(60～180 min),术中出血量平均200 ml.6例术后严重出血给予输血.一次性取石患者平均住院时间8 d(6～14 d).术后肾功能及肾积水情况较术前改善.35例出院后获随访2～13个月,均无严重出血和感染.结论 MPCNL是治疗复杂性肾结石的一种简便、安全、有效的方法 ,但应重视其并发症的防治,严格掌握手术指征.

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更新日期/Last Update: 1900-01-01