[1]周祥福,湛海伦,陆敏华,等.截石位微创经皮肾镜联合逆行输尿管镜治疗上尿路疾病[J].中华腔镜泌尿外科杂志(电子版),2009,(04):288-291.
　ZHOU Xiang-fu,ZHAN Hai-lun,LU Min-hua,et al.Simultaneous mini-percutaneous nephrolithotripsy in supine position and retrograde ureteroscope for management of upper urinary tract diseases[J].,2009,(04):288-291.
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截石位微创经皮肾镜联合逆行输尿管镜治疗上尿路疾病()
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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04期
页码:
288-291
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Simultaneous mini-percutaneous nephrolithotripsy in supine position and retrograde ureteroscope for management of upper urinary tract diseases
作者:
周祥福; 湛海伦; 陆敏华; 肖恒军; 廖继忠; 周琦
中山大学附属第三医院泌尿外科,广州,510630
Author(s):
ZHOU Xiang-fu; ZHAN Hai-lun; LU Min-hua; XIAO Heng-jun; LIAO JI-zhong; ZHOU Qi
关键词:
经皮肾镜取石术; 平卧位; 截石位; 输尿管镜; 上尿路疾病
摘要:
目的 探讨截石位微创经皮肾镜联合逆行输尿管镜在处理上尿路疾病中的临床应用价值.方法 本组23例中,男15例,女8例.年龄21～69岁,平均(45±13)岁.23例行腹部平片(KUB)+静脉肾盂造影(IVU)、超声检查或CT检查:20例为肾结石或合并输尿管结石(其中对侧2例),2例为输尿管多发性结石,1例为腹腔镜膀胱癌根治术+原位回肠膀胱术后双侧输尿管下端狭窄.肾结石最大径为1.2～3.4 cm,输尿管结石长径0.8～1.7 cm.23例均伴有肾积水,其中轻度积水7例,中度积水14例,重度积水2例.采用截石位并于患侧腰肋部用水袋垫高,同时进行逆行置管或输尿管镜及PCNL手术.结果 本组23例手术均成功,无1例出现结肠损伤等严重并发症.20例肾结石患者中一期取净结石17例,结石取净率达85%.所有输尿管结石均一期处理干净.输尿管下端狭窄者采用顺行与逆行相结合扩张成功并留置8F双J管.结论 截石位行微创经皮肾镜术联合逆行输尿管镜术方便术者顺行及逆行操作,术中无需变换体位,利于击碎的结石冲出,患者及术者体位舒适,避免呼吸及循环严重并发症,是处理上尿路结石安全、高效、方便的新方法.

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更新日期/Last Update: 1900-01-01