微创经皮肾取石术联合B超定位及监测治疗上尿路结石的体会  

Experience of minimally invasive percutaneous nephrolithotomy combined with positioning and monitoring of ultrasound in treatment of upper urinary calculi

作　　者：邹火生[1] 黄裕清[1] 余自强[1] 

机构地区：[1]梅州市人民医院泌尿二科,广东梅州514031

出　　处：《岭南现代临床外科》2010年第6期442-444,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨微创经皮肾取石术联合B超定位及监测治疗上尿路结石临床疗效。方法将118例单侧上尿路结石患者分为两组,微创经皮肾取石术联合B超治疗上尿路结石62例为实验组,以微创经皮肾术取石56例患者为对照组。结果实验组的一期结石清除率显著高于对照组(P<0.05),平均手术时间、平均术中出血量、平均取石次数、住院时间、平均住院费用等显著少于或短于对照组(P均<0.05)。两组患者均无严重并发症。结论微创经皮肾取石术联合B超治疗上尿路结石具有定位准确、创伤小、安全有效、结石取尽率高等优点,能有效治疗上尿路结石。Objective To explore clinical effect on minimally invasive percutaneous nephrolithotomy（MPCNL） combined with positioning and monitoring of ultrasound in treatment of upper urinary calculi.Methods 118 cases with calculi in unilateral urinary tract were divided into two groups.MPCNL combined with ultrasound was applied to treat 62 cases who formed the experimental group（EG）.MPCNL was applied to treat 56 cases who formed the control group（CG）.Results There were significant difference in the first removed calculu＇s rate between the two groups（P0.05）.In the average operating time,average intraoperative bleeding volume,pospitalization time,lithotomy times and cost of hospitalization,the EG was less than that CG.There were no serious complicatioins in two groups after operation.Conclusion MPCNL combined with ultrasound possesses localized accuracy,less trauma,safety,effctiveness and repeatable manipulation etc advantages in the treatment of upper urinary calculi.

关 键 词：微创经皮肾取石术 上尿路结石 超声 

分 类 号：R691.4[医药卫生—泌尿科学]