[1]曾繁飞,胡成,司徒杰.超声引导下经皮肾镜取石术治疗复杂性肾结石的回顾性分析:附113例报告[J].中华腔镜泌尿外科杂志(电子版),2011,(05):390-393.
　ZENG Fon-fei,HU Cheng,SITU Jie.Retrospective study of percutaneous nephrolithotomy under ultrasonography guidance for treatment of complex renal calculi[J].,2011,(05):390-393.
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超声引导下经皮肾镜取石术治疗复杂性肾结石的回顾性分析:附113例报告()
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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05期
页码:
390-393
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Retrospective study of percutaneous nephrolithotomy under ultrasonography guidance for treatment of complex renal calculi
作者:
曾繁飞; 胡成; 司徒杰
广东省惠州市惠州市第四人民医院泌尿外科,516005，中山大学附属第三医院泌尿外科,广州,510630
Author(s):
ZENG Fon-fei; HU Cheng; SITU Jie
关键词:
复杂性肾结石; 经皮肾镜; 气压弹道超声碎石
摘要:
目的 探讨超声引导下经皮肾镜治疗复杂性肾结石的方法、疗效,进一步提高结石清除率,降低并发症.方法 回顾性分析采用超声引导经皮肾镜气压弹道超声碎石治疗113例(单侧肾结石为83例,双侧肾结石为30例)复杂性肾结石患者的临床资料,通过分析结石大小与手术时间、失血量,手术时间与失血量等数据,对手术操作方法、结石清除率、并发症等进行评价及总结.结果 113例复杂性肾结石中93例为一期取净结石,一次性清除率达823%.平均手术时间78±34 min(45～150),失血量85±15.4 ml(20-125).术中未见严重并发症.结石大小与手术时间、失血量,手术时间与失血量之间均存在明显的线性相关关系(r=0.871,0.796,0.801,P<0.05).结论 超声引导经皮肾镜气压弹道超声碎石技术具有高效、安全等优点,在治疗复杂性肾结石方面有良好的应用价值;同时,根据结石特点设计合理的操作通道,缩短手术时间,能有效避免并发症的发生.

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更新日期/Last Update: 1900-01-01