微创经皮肾穿刺取石术并发临近脏器损伤的诊疗  

Treatment of damnification on adjacent organs after mini-percutaneous nephrolithotomy

作　　者：梁卓寅[1] 叶向东[1] 梁志雄[1] 陈秀萌[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》2007年第11期823-824,共2页Journal of Practical Diagnosis and Therapy

摘　　要：目的:探讨微创经皮肾穿刺取石术并发临近脏器损伤的治疗体会。方法:回顾分析应用微创经皮肾穿刺取石术治疗上尿路结石4520例中出现临近脏器损伤12例的临床资料。结果:出现胸膜损伤的9例患者中,8例治愈1例死亡;出现结肠损伤的2例患者和出现肾静脉损伤的1例患者均治愈。结论:临近脏器损伤是微创经皮肾穿刺取石术较少见的并发症。术中细致操作,术后细致观察并及时采取相应的治疗措施,可提高手术安全性。　Objective To investigate the experience in the treatment of the damnification on adjacent organs after mini-percutaneous nephrolithotomy.Methods The clinical data of 12 cases of damnification on adjacent organs were retrospectively analyzed in 4520 cases of mini-percutaneous nephrolithotomy in the treatment of upper urinary calculi.Results In 9 cases of pleura,8 were successfully treated,and 1 died.Two cases of colon and 1 of kidney vein injury were successfully treated.Conclusion The damnification on adjacent organs after mini-percutaneous nephrolithotomy is very few.Careful observation and right treatment could improve the safety of the operation.

关 键 词：上尿路结石 微创 经皮肾穿刺取石术 并发症 损伤 

分 类 号：R691.4[医药卫生—泌尿科学]