[1]周祥福,温晓飞,陈兴屹,等.应用输尿管镜通过经皮肾微造瘘治疗输尿管上段结石114例报告[J].中华腔镜泌尿外科杂志(电子版),2007,(01):30-32.
　ZHOU Xiang-fu,WEN Xiao-fei,CHEN Xing-yi,et al.Effect and safety of mini-percutaneous nephrostomy by ureteroscopy in treatment of upper ureteral stones: 114 cases report[J].,2007,(01):30-32.
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应用输尿管镜通过经皮肾微造瘘治疗输尿管上段结石114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:
2007年01期
页码:
30-32
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Effect and safety of mini-percutaneous nephrostomy by ureteroscopy in treatment of upper ureteral stones: 114 cases report
作者:
周祥福; 温晓飞; 陈兴屹; 仇广明; 高新; 蔡育彬; 邱剑光; 司徒杰
广州天河路600号中山大学附属第三医院泌尿外科,广州,510630，同济大学附属东方医院泌尿外科,上海,200120
Author(s):
ZHOU Xiang-fu; WEN Xiao-fei; CHEN Xing-yi; QIU Guang-ming; GAO Xin; CAI Yu-bin; QIU Jian-guang; SITU Jie
关键词:
经皮肾造瘘; 输尿管上段结石; 输尿管镜
摘要:
目的 探讨应用输尿管镜通过经皮肾微造瘘治疗输尿管上段结石的疗效及安全性.方法 本组114例,男63例,女51例,年龄24～71岁.输尿管上段结石大小1.2～2.3 cm×0.6～1.3 cm,左侧53例,右侧61例,其中合并同侧肾积水轻度26例、中度67例、重度16例,结石位于第4腰椎以上.麻醉采用全麻或腰硬联合麻醉.体位采用侧卧位57例、俯卧位44例、仰卧位13例.B超引导定位穿刺肾中盏或上盏,建立16F或18F经皮肾通道,采用输尿管镜代替经皮肾镜,应用电子弹道碎石33例,钬激光81例.术后均顺行放置双J管作内支架,2～4周拔除.结果 本组114例手术均成功,手术时间20～55 min,术中无穿刺致周围脏器损伤,均未输血.术后复查照片9例残余最大直径＜4 mm的结石,114例均于术后6～8 d出院.结论 B超引导下穿刺建立经皮肾微造瘘,应用输尿管镜代替经皮肾镜治疗位于第4腰椎以上的输尿管上段结石是一种行之有效的治疗方法.该法创伤小、恢复快,安全有效,结石取净率高.

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更新日期/Last Update: 1900-01-01