微创经皮肾取石术治疗嵌顿性输尿管上段结石  

Minimally invasive percutaneous nephrolithotomy for impacted upper ureteric calculi

作　　者：叶向东[1] 梁志雄[1] 梁卓寅[1] 

机构地区：[1]广州医学院第一附属医院微创外科中心泌尿外科,广州市510230

出　　处：《实用诊断与治疗杂志》2005年第6期397-398,共2页Journal of Practical Diagnosis and Therapy

摘　　要：目的探讨应用微创经皮肾穿刺取石术治疗嵌顿性输尿管上段结石的疗效。方法选取92例单侧嵌顿性输尿管上段结石的患者,采用微创经皮肾穿刺取石术进行治疗,其中6例接受辅助的体外冲击波碎石治疗。结果微创经皮肾穿刺取石术术后3d结石清除率为94.6%(87/92),术后1个月结石清除率为100%(92/92)。结论微创经皮肾穿刺取石治疗嵌顿性输尿管上段结石有很高的结石清除率,可以联合体外冲击波碎石来提高疗效。Objective To investigate the effect of the minimally invasive percutaneous nephrolithotomy in management of impacted upper ureteric calculi. Methods A total of 92 patients with impacted upper urteric calculi accepted minimal invasive percutaneous nephrolithotomy,in which 6 patients accepted auxiliary extracorporeal shock wave lithotripsy.The stone-free rate was recorded in 3 days and 1 month postoperation. Results After minimally invasive percutaneous nephrolithotomy,the stone-free rate was 97.8%(90/92) in 3 postoperative days,100% (92/92) in one postoperative month. Conclusion High stone-free rate can be obtained with minimally invasive percutaneous nephrolithotomy for impacted upper ureteric calculi.The effect can be improved with the auxiliary extracorporeal shock wave lithotripsy.

关 键 词：输尿管结石 输尿管镜 经皮肾穿刺取石术 

分 类 号：R699[医药卫生—泌尿科学]