[1]黄永新,黎志辉,朱志华,等.斜仰卧位微造瘘经皮肾镜取石术治疗输尿管上段结石临床分析[J].中华腔镜泌尿外科杂志(电子版),2011,(03):236-238.
　HUANG Yong-xin,LI Zhi-hui,ZHU Zhi-hua,et al.Minimally invasive percutaneous nephrolithotomy in flank position for management of proximal ureteral calculi[J].,2011,(03):236-238.
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斜仰卧位微造瘘经皮肾镜取石术治疗输尿管上段结石临床分析()
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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03期
页码:
236-238
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Minimally invasive percutaneous nephrolithotomy in flank position for management of proximal ureteral calculi
作者:
黄永新; 黎志辉; 朱志华; 蒲鹏吉
广东省韶钢医院泌尿外科,512123
Author(s):
HUANG Yong-xin; LI Zhi-hui; ZHU Zhi-hua; PU Peng-ji
关键词:
输尿管上段结石; 微造瘘经皮肾镜取石术; 斜仰卧位
摘要:
目的 探讨斜仰卧位微造瘘经皮肾镜取石术治疗输尿管上段结石的临床应用价值.方法 分析我院2008年6月至2010年6月采用斜仰卧位微造瘘经皮肾镜取石术治疗输尿管上段结石52例的临床资料.其中男33例,女19例,年龄23～65岁,平均42岁.均为单侧输尿管结石,结石长径1.0～3.2 cm,合并患侧肾结石15例.结果 所有患者行PCNL均成功,无中转开放手术.平均手术时间80 min(55～110 min).术中无大出血和肠道损伤、胸膜损伤等并发症.50例一期PCNL清除结石,一次碎石成功率为96.2%.术后随访3～6月,复查超声或IVU,提示患肾积水不同程度减轻,无输尿管狭窄或结石复发.结论 斜仰卧位微造瘘经皮肾镜取石术治疗输尿管上段结石技术可行,安全有效,对于患者和术者均比较舒适,可作为mPCNL的理想体位选择.

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更新日期/Last Update: 1900-01-01