经皮肾微造瘘输尿管镜气压弹道碎石术治疗上尿路结石体会(附106例报告)  

Percutaneous micro nephrostomy with ureteroscopic pneumatic lithotripsy in the treatment of upper urinary tract stones(A report of 106 cases)

作　　者：黄志明[1] 

机构地区：[1]福建医科大学附属三明第一医院泌尿外科,福建三明365000

出　　处：《岭南现代临床外科》2010年第2期117-118,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨上尿路结石患者行经皮肾微造瘘输尿管镜气压弹道碎石术(mPCNL)的疗效及并发症的预防和处理。方法对106例在C-臂机引导下,经皮肾微造瘘,以输尿管镜,气压弹道击碎结石的上尿路结石的患者的临床资料进行回性顾分析。结果平均住院天数13 d,106例患者中93例成功Ⅰ期取净结石(87.7%)。平均尿液转清时间2.5 d,肾造瘘管留置时间4-11 d,平均7.5 d。2例(1.9%)患者术后出现高热,经抗感染、对症治疗后好转。术中无周围脏器损伤,术中均未输血。结论 mPCNL治疗上尿路结石具有结石清除率高,损伤小,并发症少的优点,值得临床推广应用。Objective To investigate the therapeutic efficacy on percutaneous micro nephrostomy with ureteroscopic pneumatic lithotripsy（mPCNL） in the treatment of upper urinary tract stones and the prevention and cure of complications. Methods The clinical data of 106 cases received percutaneous micro nephrostomy with ureteroscopic pneumatic lithotripsy guided by C-arm Xray machine for upper urinary tract stones were analyzed retrospectively. Results In this group,the average hospitalization was in 13 days. Among the 106 cases, 93 cases with stones were removed completely in one stage （87.7%）.The average time of urine turned into clarity was in 2.5 days. The nephrostomy tube indwelling time ranged fron 4 to II days （average 7.5 days）. Two cases appeared high fever after operation, which were improved Via anti-infection and symptomatic treatment. No surrounding brgans were injured and no blood transfusion was necwssary during operation. Conclusion The mPCNL possesses high clearance rate of stones, less trauma and few complications ect advantages for the treatment of upper urinary tract stones.

关 键 词：经皮肾微造瘘 气压弹道碎石 上尿路结石 

分 类 号：R692.4[医药卫生—泌尿科学]