[1]肖谦,郑鸣,苏继峰,等.经皮肾镜碎石取石术并发肠道损伤的客观原因分析[J].中华腔镜泌尿外科杂志(电子版),2011,(01):69-70.
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经皮肾镜碎石取石术并发肠道损伤的客观原因分析()
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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:
2011年01期
页码:
69-70
栏目:
出版日期:
1900-01-01

文章信息/Info

作者:
肖谦郑鸣苏继峰汪家兴李树人孙伟周朝阳
湖南省湘潭市第一人民医院泌尿外科,411101
关键词:
肾造口术经皮碎石术上尿路结石肠道损伤
摘要:
目的 探讨经皮肾镜碎石取石术术中并发肠道损伤的客观原因.方法 回顾2005年1月至2009年12月间收治经皮肾镜碎石取石术并发肠道损伤的12例患者临床资料,分析其主要客观原因.结果 12例患者中,明确为肾后结肠者11例(术后CT确诊7例,术前CT确诊但术者未重视者4例),其中剖腹探查肠穿孔修补证实肾后结肠3例,证实空肠损伤为肾后结肠及空肠1例,肾与结肠关系不明1例;中度肾积水1例,轻度肾积水4例,无肾积水7例;患肾正常大小者5例,患肾不同程度萎缩者7例;中等体型者2例,消瘦者10例.结论 经皮肾镜碎石取石术并发肠道损伤,客观原因主要为肾后结肠.肾后结肠患者,基本具有以下共同特征:体型消瘦、患侧肾正常大小或不同程度萎缩、肾积水轻微或无、肾周脂肪少或缺如等.确诊肾后结肠的主要方法需依靠术前CT检查.

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更新日期/Last Update: 1900-01-01