经皮肾镜取石术治疗输尿管结石临床分析  

Clinical analysis of treatment of ureter calculus by percutaneous nephrostolithotomy

作　　者：黎雄[1] 白志明[1] 刘振湘[1] 黄义[1] 陈列[1] 梁发[1] 张冲[1] 吴万文[1] 

机构地区：[1]海口市人民医院泌尿外科,海南海口570208

出　　处：《中国热带医学》2007年第7期1159-1160,共2页China Tropical Medicine

摘　　要：目的探讨经皮肾镜下应用第三代弹道超声碎石清石系统治疗复杂性输尿管上段结石的临床效果及操作体会。方法总体分析海口市人民医院应用经皮肾镜取石术(PCNL)治疗91例患者的临床资料。其中单发输尿管上段结石并多发性肾结石70例,输尿管上段结石21例。结果91例均成功一期取石术。其中单通道78例,双通道13例。结石清除率92.5%。平均手术时间80min,肾造瘘管留置时间平均4d,术后平均住院时间6d。2例术后大出血经介入栓塞治愈。无其他重大并发症。结论PCNL治疗复杂性输尿管上段结石,具有损伤小、恢复快、住院时间短、结石清除率高、并发症少等优点,是治疗复杂性输尿管结石的较好方法。Objective To evaluate the clinical safety efficiency of percutaneous nephrolithotomy （PCNL） in patients with complicated upper ureter calculi, Methods There 70 out of the 91 patients with ureter calculi combined renal calculi. 20 cases with upper ureter calculi were treated by PCNL, Results All the 91 cases were successful treated with PCNL, including 73 cases with single tract calculus and 13 with two tract calculus, The stone - clearance rate was 92,5%, The average operative time was 80 minutes, average retention time of nephrostomy tube was 4 days, and average hospitalization duration was 6 days. No major complications were noted in other patients, Conclusion PCNL possesses the advantages of safety, effectiveness, minor injury, rapid rehabilitation, thus suitable for treatment of upper ureter calculi.

关 键 词：经皮肾穿刺取石术 输尿管结石 微创手术 

分 类 号：R693.4[医药卫生—泌尿科学]