微创经皮肾穿刺输尿管镜碎石取石术治疗复杂性上尿路结石  

作　　者：许松华[1] 黄耀强[1] 陈振业[1] 

机构地区：[1]广东省江门市新会区会城医院,529100

出　　处：《中国社区医师（医学专业）》2011年第11期85-86,共2页

摘　　要：目的:探讨微创经皮肾穿刺输尿管镜碎石取石术治疗复杂性上尿路结石的疗效。方法:对107例复杂性上尿路结石患者临床资料进行了回顾性分析。结果:有105例成功行一期取石术,2例中转开放手术。一期手术取净结石69例,二期手术取净结石21例,三期手术取净结石3例,结石总取净率86.3%。手术时间平均132±37分钟,术中出血量平均171±32m l,肾造瘘管留置时间平均7天,术后平均住院8.5天,未出现严重并发症。结论:经皮肾镜气压弹道碎石具有损伤小、恢复快、住院时间短、结石清除率高、并发症少等优点,是治疗复杂性上尿路结石较好的方法。Objective：assess efficacy of minimally invasive percutaneous nephrolithotomy treating complicated upper urinary tract calculi.Methods： 107 patients upper urinary tract calculi patients clinical data were retrospectively analyzed.Results：105 succeeded with one-stage operation,only 2 were transfered open operation.69 cases were stone free one-stage operation,21 second stage operation,other 3 third stage stone free rate 86.3%.operative（132±37）min,average nephrostomy tube stay 7d,average postoperative hospitalization stay 8.5d.blood loss was（171±32）mL,no major complications.Conclusion：Percutaneous nephrolithotomy with pressure ballistic lithoclasty advantages less invasion,rapid recovery,short hospitalization stay,high stone-free rate,fewer complications.It＇sa good minimally invasive procedure complex upper urinary tract calculi.

关 键 词：经皮肾穿刺术 输尿管镜 尿路结石 气压弹道碎石 

分 类 号：R691.4[医药卫生—泌尿科学]