超声引导下微通道经皮肾镜取石术治疗上尿路结石  

Minimally invasive percutaneous nephrolithotomy with pneumatic lithotripsy guided by B-type ultrasound for the treatment of upper urinary calculi

作　　者：陈雪松[1] 潘卫兵[1] 金岩[1] 朱斌[1] 谢礼仁 李美红[1] 

机构地区：[1]广东省深圳市坪山人民医院泌尿外科,518118

出　　处：《中华腔镜泌尿外科杂志（电子版）》2010年第4期39-41,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨超声引导下微通道经皮肾镜气压弹道碎石术治疗肾输尿管上段结石的经验,提高手术技巧。方法对186例超声引导下微通道经皮肾镜气压弹道碎石术治疗肾输尿管上段结石患者手术时间、失血量、结石清除率等资料进行回顾性总结分析。结果所有患者成功建立18 F通道并进行气压弹道碎石取石,平均手术时间68 min,平均出血70 ml,18例行II期碎石。术后复查KUB、超声,总净石率90.32%。5例残留结石配合体外冲击波碎石(ESWL)治愈。未出现气胸、肠道损伤等并发症。结论超声引导下建立微通道经皮肾镜气压弹道碎石术治疗肾输尿管上段结石安全、有效,定位准确,可替代X线定位。Objective To summarize the experience of minimally invasive percutaneous nephrolithotomy（MPCNL） with pneumatic lithotripsy under B-type ultrasound guidance for the treatment of upper urinary calculi,and improve the skill of operation.Methods 186 patients with kidney and ureteral calculi underwent MPCNL with pneumatic lithotripsy under B-type ultrasound guidance.procedure time,blood loss and the stone-free rate were analyzed retrospectively.Results The minimally invasive percutaneous renal access of 18F was successfully established in all patients under B-type ultrasound guidance and immediate lithotripsy was performed.The average operation time was 68 minitues,and average blood loss was 70ml.Stone free rate was 90.32%.No severe complication occurred.Conclusions MPCNL with pneumatic lithotripsy appears to be efficacious and safe for disintegrating and removing upper urinary tract calculi under B-type ultrasound guidancd with exact orientation,even instead of X-ray guidance.

关 键 词：超声引导 肾结石 输尿管结石 微创经皮肾镜取石术 

分 类 号：R691.4[医药卫生—泌尿科学]