新型经皮肾镜和输尿管镜联合弹道超声碎石、清石系统治疗肾结石  

Removal of renal calculus by combined new-percutaneous nephrostolithotomy and ureter ultrasound lithotripsy system

作　　者：周明[1] 江咏[1] 李宏[1] 果佳[1] 王小兵[1] 宋玲[1] 

机构地区：[1]解放军59医院泌尿外科,云南开远661600

出　　处：《中国内镜杂志》2008年第8期858-859,863,共3页China Journal of Endoscopy

摘　　要：目的探讨新型经皮肾镜与输尿管镜联合弹道超声碎石、清石系统治疗肾结石的效果及安全性。方法采用20.8F新型肾镜和8.0/9.8F输尿管硬镜,联合应用EMS第3代弹道超声碎石、清石系统治疗肾结石120例,134个肾结石。男72例,女48例,年龄9～68岁,平均年龄41.3岁,其中双肾鹿角形结石7例,右肾多发结石72例,左肾多发性结石48例。结石直径2.0～7.0cm,平均3.5cm。结果112例患者一期取石,8例二期取石。单通道取石114例,双通道取石6例。一次取石105例,2次取石15例,结石清除率91.6%,平均手术时间110min,肾造瘘管留置时间平均6d,平均住院日12d。有6例需要输血,其中2例穿刺扩张通道成功后并发大出血,留置14F导尿管夹闭后行二期取石,1例取石术后反复出血,经超选择性肾动脉介入栓塞治愈。其余未出现其他并发症。结论新型经皮肾镜与输尿管镜联合弹道超声碎石、清石系统治疗肾结石,具有创伤小、出血少、碎石后清石效率高、恢复快、住院时间短、并发症少等优点,尤其对肾多发结石或鹿角型结石的治疗有较大的优越性。[Objective] To evaluate the curative effect and safety of the treatment of renal calculus by new-percutaneous nephrostolithotomy and ureter ultrasound lithotripsy system. [Methods] By 20.8 F nephroscope and 8/9.8 F transureteroscope, new-percutaneous nephrostolithotomy and ureter ultrasound lithotripsy system were combined to remove renal calculus in 120 cases. The present study includes 120 cases of patients, 72 males and 48 females. The mean age was 41.3 years (range 9~68 years). Among them, there were st...

关 键 词：经皮肾镜取石 弹道超声碎石清石 肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]