肾窦内肾盂切开加输尿管镜碎石术治疗巨大鹿角形肾结石  

The combination of intrasinusal pyelolithotomy and pneumatic lithoripsy under ureteroscope in the treatment of gyant staghorn calcuvi

作　　者：黄海文 杨水华 吴鸿 

机构地区：[1]广东省湛江市中心人民医院泌尿外科,广东湛江524037

出　　处：《海南医学》2005年第7期63-64,共2页Hainan Medical Journal

摘　　要：目的探讨肾窦内肾盂切开加输尿管镜碎石术治疗巨大鹿角形肾结石的手术方法及疗效。方法采用肾窦内肾盂切开加输尿管镜碎石术治疗巨大鹿角形肾结石患者26例。结果26例均顺利取出结石,术中无需阻断肾蒂,无损伤肾后段血管,结石一次性取净22例(84.6%),残留结石4例(15.4%)。结论该手术式具有术野清晰、操作简单,取石容易且出血少,结石一次性取出率高,并发症少的优点。Objective To discuss the surgical approaches of intrasinusal pyelolithotomy, pneumatic lithoripsy,ureteroscope, for giant staghorn calculi. Methods The data of 26 cases treated with intrasinusal Pyelolithotomy, pneumatic lithoripsy, ureteroscope. Results Lithotomy was success ful in all cases,renal pedicle occlusion were not need during the operation,the calculus were completely cleared out in 22 cases (84.6%) the residual calculus in 4(15.4%). Conclusions Treatment of giant staghorn culcui with this menthod has been simple,easy to master,little bleeding,high rate of clearance and little compeications.

关 键 词：肾结石 外科手术 输尿管镜 

分 类 号：R692.4[医药卫生—泌尿科学]