[1]苏清华,湛海伦,罗记文,等.斜卧位经超声引导行微通道经皮肾镜碎石取石术[J].中华腔镜泌尿外科杂志(电子版),2009,(03):210-213.
 SUN Qing-hua,ZHAN Hai-lun,LUO Ji-wen,et al.Mini-pereutaneous nephrolithotomy under ultrasoud guidance in semi-supine position[J].,2009,(03):210-213.
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斜卧位经超声引导行微通道经皮肾镜碎石取石术()
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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03期
页码:
210-213
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Mini-pereutaneous nephrolithotomy under ultrasoud guidance in semi-supine position
作者:
苏清华湛海伦罗记文李健林浩群
广东省东莞市黄江医院泌尿外科,523750,中山大学附属第三医院泌尿外科,广州,510630
Author(s):
SUN Qing-huaZHAN Hai-lunLUO Ji-wenLI JiangLIN Hao-qun
关键词:
斜卧位超声经皮肾镜取石术肾结石
摘要:
目的 探讨斜卧位经超声引导行微通道经皮肾镜碎石取石术治疗肾结石的安全性和可行性.方法 肾多发性结石或鹿角型结石患者12例,其中重度肾积水者6例,轻中度肾积水者4例.行患侧输尿管逆行插管,患者仰卧于自制体位架并固定,患侧抬高45毅,腰部向患侧突出,显露腋中线至肩胛下角线.经12 肋下超声引导进行穿刺、扩张建立16~18F 经皮肾通道,采用输尿管镜行弹道碎石取石术.结果 12例碎石取石术均成功,手术时间(143.5±41.2)min,出血量(204.2±45.6)ml,1例术中输血200 ml.无术中大出血,无肾盂穿孔、气胸、结肠损伤等并发症,一期结石取净8例(66.7%),其余4例二期MPCNL 取净.结论 斜卧位经超声引导行MPCNL,患者体位舒适,便于术中麻醉监护;超声引导可提高穿刺成功率,并有效避免血管及脏器损伤.斜卧位经超声引导行MPCNL 安全可行,适合在基层医院推广.

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更新日期/Last Update: 1900-01-01