开放手术中应用腔镜技术治疗复杂性肾结石38例  

Application of Endoscopy to Treatment of Complex Nephrolithiasis of 38 Patients during Open Operation

作　　者：陈世伟[1] 赵轶[1] 陶鑫[1] 许春[1] 江城[1] 陈勇杰[1] 

机构地区：[1]解放军第174医院泌尿外科,福建厦门361003

出　　处：《临床军医杂志》2006年第4期437-438,共2页Clinical Journal of Medical Officers

摘　　要：目的 探讨复杂性肾结石开放性手术中应用腔镜技术减少手术并发症及减少残石率的经验.方法 对38例复杂性肾结石采用肾盂切开术中气压弹道碎石取石,输尿管镜、小儿膀胱镜取结石治疗.结果 38例患者34例1次手术将结石取尽;4例X线可见残石,但其中只有2例需要处理,此2例于术后1～2个月行体外冲击波碎石治愈.结论 在开放手术中配合气压弹道碎石、输尿管镜、小儿膀胱镜取结石治疗,是手术治疗复杂性肾结石中减少手术并发症及减少残石率的有效方式.Objective To study the experience in the application of endoscopy to complex nephrolithiasis during open operation in order to decreasing complication and residual stone. Methods Thirty-eight patients with complex nephrolithiasis were treated with pneumatic ureteroscopic lithotripsy during pyelolithotomy, as well as lithotomy through ureteroscopy and pediatric cystoscopy. Results In 34 of the 38 patients, stones were removed at a time. Residual stdnes were seen under X-ray in four patients, only two ot whom needed treating. Conclusion It is effective on lowering complications and residual stones that pneumatic ureteroscopic lithotripsy plus ureteroscopy and pediatric cystoscopy is applied to complex nephrolithiasis during open operation.

关 键 词：肾结石 肾盂切开取石 气压弹道碎石 输尿管镜 

分 类 号：R692.4[医药卫生—泌尿科学]