B超引导经皮肾镜气压弹道并超声治疗肾结石效果  

ULTRASONICALLY GUIDED PERCUTANEOUS NEPHROLITHOTRIPSY WITH PNEUMATIC AND ULTRASONIC POWER FOR RENAL STONES

作　　者：申永璋[1] 宋世德[1] 王纪三[1] 滕兆礼[1] 丁波[1] 苏磊[1] 

机构地区：[1]日照市人民医院泌尿外科,山东日照276826

出　　处：《青岛大学医学院学报》2008年第6期493-494,497,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的探讨B超引导下经皮肾镜气压弹道联合超声碎石术治疗肾结石的安全性和临床疗效。方法采用B超引导穿刺建立通道、肾镜下气压弹道联合超声碎石术治疗118例肾结石。对手术时间、手术并发症、结石清除率等临床资料进行分析。结果118例病人均一期成功建立皮肤肾脏通路,116例行一期碎石术,2例行二期碎石术。手术时间69-121 min,平均（84±13）min。出血10-170 mL,平均约80 mL,术中无输血。未出现大出血、严重感染、尿瘘、腹腔脏器损伤等严重并发症。术后1周后复查,结石清除率86.4%（102/118）。结论B超引导下经皮肾镜气压弹道联合超声治疗肾结石成功率高,且安全、创伤小,具有临床应用推广价值。Objective To evaluate the efficacy and safety of percutaneous nephrolithotripsy （PCNL） under ultrasonic guidance. Methods This study included 118 cases of renal stone undergoing percutaneous nephrolithotripsy. The duration of the procedure, complications and stone-clearance rate were analyzed. Results A percutaneous renal access was successfully established in all patients. A primary lithotripsy was performed in 116 cases and secondary in two. The duration （mean） was 69--121 （84±13） minutes. Blood loss （mean） was 10--170 mL （80 mL）. No complications such as severe infection, urinary fistula or injury of abdominal organs were recorded. The elearance rate of stone was 86.4%（102/118）. Conclusion The management of renal stone using PCNL appears to be efficacious and safe under ultrasonic guidance.

关 键 词：肾结石 经皮肾镜碎石术 治疗结果 

分 类 号：R699.2[医药卫生—泌尿科学]