经皮肾镜气压弹道碎石术治疗上尿路结石310例临床分析  

Clinical analysis of technique and efficacy of 310 percutaneous nephrolithotomy cases combinned pneumatic lithotripsy

作　　者：蒋磊[1] 张军[1] 曾春明[1] 李羽佳[1] 杨仪东 

机构地区：[1]湖南省永州市人民医院泌尿外科,425006

出　　处：《中国实用医药》2008年第15期16-17,共2页China Practical Medicine

摘　　要：目的探讨经皮肾输尿管镜气压弹道碎石术治疗肾脏与输尿管上段结石的方法与疗效。方法采用经皮肾输尿管镜下气压弹道碎石术治疗上尿路结石310例。结果2004年3月至2007年12月,采用I期、Ⅱ期或分步经皮肾输尿管镜手术成功处理310例上尿路结石,其中包括鹿角型结石、多发性肾结石、孤立肾结石、ESWL(体外震动破碎石术)治疗失败、开放取石手术后复发、输尿管上段结石。肾结石清除率为91·28%,输尿管结石清除率为89·85%,且无严重手术并发症发生。结论经皮肾输尿管镜气压弹道碎石术治疗上尿路结石具有微创、恢复快、并发症少、安全高效、结石清除率高的优点。Objective To investigate and assess the clinical technique and efficacy of minimally invasive percutaneous nephrolithotomy combined contact pneumatic lithotripsy for upper urinary lithiasis treatment.Methods 310 patients with upper urinary calculi underwent minimally invasive percutaneous nephrolithotomy combined contact pneumatic lithotripsy.Results From Mar 2004 to Dec 2007,310 patients underwent I,II period or two-step percutaneous nephrolithotomy using a combined pneumatic lithortite,including renal stag horn stone,poly kidney calculi,solitary kidney calculi,ESWL failure calculi,recurrent calculi after open surgery and upper ureterie calculi.Clinical data was analyzed retrospectively,stone clearance rate was 91.28%and 89.85%for kidney and ureterie stone,respectively.No serious surgery-concerned complication occurred during nephrolithotomy.Conclusion The minimally invasive percutaneous nephrolithotomy combined pneumatic device appears to be minimally invasive,quick recovery,less complication,eficacious,safe and high stone-free rate for upper urinary calculi remove.

关 键 词：肾结石 输尿管结石 内窥镜术 碎石术 

分 类 号：R691.4[医药卫生—泌尿科学] R693.4[医药卫生—外科学]