侧卧位经皮肾微造瘘输尿管镜取石治疗复杂性肾结石的研究  

Treatment of the complicated renal calculi by taking calculis through percutaneous micronephrostomy and ureteroscopy under side-lying position

作　　者：张少林[1] 陈伯川[1] 梁伟东[1] 白亮[1] 钟羽翔[1] 

机构地区：[1]广州中医药大学附属佛山中医院泌尿外科,佛山528000

出　　处：《中原医刊》2006年第18期1-3,共3页Central Plains Medical Journal

基　　金：2005年佛山市科技攻关项目(200508072)

摘　　要：目的探讨复杂性肾结石的微创治疗方法及侧卧位对患者手术的影响。方法回顾分析我院2年来采用侧卧位经皮肾微造瘘输尿管镜取石治疗复杂性肾结石76例临床资料。结果本组均在B超引导下健侧卧位一期穿刺造瘘取石,结石一次取净率70%,两次手术结石总取净率为95%,手术时间平均1.8h,术中无输血,平均出血量105m l。结论侧卧位经皮肾微造瘘输尿管镜取石治疗复杂性肾结石疗效好,合并心肺功能不全的患者能耐受侧卧位手术。Objective To probe minor - traumatic treatment of complicated renal calculi and the effect on the patients operated under side -lying position. Methods To analyse the 76 cases which have been given the treatment to complicated renal calculi through percutaneous micronephrostomy and ureteroscopy under side - lying position. Results They presented 70% stone - free after the first operation. When the second operation finished, it added up to 95 %. The average time of operation losing was 1.8 hours. No transfusion was needed during the operations and the average amount of blood losing was 105ml. Conclusion It＇ s effective to use percutaneous micronephrostomy and ureteroscopy to treat complicated renal calculi under side - lying position. Even the patients who are together with the malfunction of heart and lung can also undertake the operation under side -lying position.

关 键 词：B型超声波 经皮肾镜取石术 肾结石 

分 类 号：R692.4[医药卫生—泌尿科学] R473.74[医药卫生—外科学]