纤维胆道镜和术中超声在手术治疗复杂性肾脏结石中的应用研究  

Application of choledochofiberscope and intraoperative ultrasonography for surgical management of complex renal calculi

作　　者：程广舟[1] 单锋芝[1] 王培祥[1] 

机构地区：[1]山东滕州市中心人民医院泌尿外科,山东滕州277500

出　　处：《中国内镜杂志》2008年第4期433-435,共3页China Journal of Endoscopy

摘　　要：目的提高手术治疗复杂性肾脏结石的疗效。方法全组32例均先采用肾盂切开或肾窦内肾盂切开取石,再用纤维胆道镜在术中经肾盂切口观察和协助取出结石,最后术中超声确定是否有残留结石。结果30例取尽结石,2例肾盏内残留3枚直径小于0.4cm×0.4cm的结石。结论在术中联合应用纤维胆道镜和术中超声能协助取尽结石,减少肾盂黏膜的损伤和失血量,提高手术疗效并实现一机多用,经济,安全,方便。[Objective] To improve the therapeutic efficacy of operation for complex renal calculi. [Methods] All the 32 cases were treated with pyelolithotomy or intrasinusal pyelolithotomy. Flexible choledochofiberscope was used to help to search and remove residual stones. Intraoperative ultrasonography was used to judge whether there were still calculi in kidney. [Results] Thirty of 32 patients were free from any calculi and there were only three stones remained in two patients after operation. [Condusion] With the help of flexible choledochofiberscope and intraoperative ultrasonography, most of calculi can be removed in the operations for complex renal calculi. The procedure is safe, convenient and spare.

关 键 词：肾结石 外科手术 纤维胆道镜 术中超声 

分 类 号：R692.4[医药卫生—泌尿科学]