B超联合X线引导下双通道微创经皮肾镜治疗复杂性肾结石30例体会  

Two-accesses minimally invasive percutaneous nephrolithotomy for the treatment of complicated renal calculi under the guidance of B-mode ultrasound combined with radiography

作　　者：王勤章[1] 王江平[1] 丁国富[1] 李令勋[1] 倪钊[1] 李应龙[1] 王新敏[1] 谢顺明[1] 钱彪[1] 王文晓[1] 

机构地区：[1]石河子大学医学院第一附属医院泌尿外科,石河子832000

出　　处：《陕西医学杂志》2010年第1期72-73,共2页Shaanxi Medical Journal

基　　金：新疆建设兵团政策引导类科技计划项目(No2007JD14)

摘　　要：目的:探讨B超联合X线引导下双通道微创经皮肾镜治疗复杂性肾结石的可行性与效果。方法:回顾性分析30例B超联合X线引导下双通道微创经皮肾镜治疗复杂性肾结石的疗效及并发症。结果:本组30例均在B超联合X线引导下准确建立理想的双工作通道。本组结石一期清除率为77%(22/30),结石总清除率为93.3%。平均手术时间110min,术中平均出血量100ml,平均住院天数14.5d。结论:采用B超联合X线引导下双通道微创经皮肾镜治疗复杂性肾结石是安全有效的。Objective：To evaluate the efficiency and safety of two-accesses minimally invasive percutaneous nephrolithotomy （MPCNL） for the treatment of complicated renal calculi under the guidance of B-mode ultrasound combined with radiography. Methods：We were retrospectively reviewed the outcome and complications of two-accesses MPCNL for complicated renal calculi. Results：Precise operative tract was established in all cases. Of 30 cases,77% （22/30）were rendered stone free at 1 session,The stone free rate were amounted to 93.3%.The average time for whole surgery was 110 minutes. Average volume of blood loss was 100m1.Average hospitalization stay was 14.5 days. Conclusion：Two-accesses minimally invasive percutaneous nephrolithotomy （MPCNL） is safe and effective in treating complicated renal calculi under the guidance of B-mode ultrasound combined with radiography.

关 键 词：肾结石/外科学 肾结石/放射照相术 内窥镜检查 超声检查 

分 类 号：R692.4[医药卫生—泌尿科学]