彩超引导下多通道经皮肾镜治疗复杂型肾结石(附39例报告)  

Color doppler ultrasound guided multiple-channel percutaneous nephrolithotomy for complex kidney calculi:with a report of 39 cases

作　　者：王连渠[1] 卜宏民[1] 闫拥军[1] 车新平[1] 焦志灵[1] 徐国良[1] 

机构地区：[1]河南大学第一附属医院,河南开封475001

出　　处：《腹腔镜外科杂志》2011年第8期629-631,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨彩超引导下多通道经皮肾镜治疗复杂型肾结石的临床价值。方法:回顾分析为39例肾脏复杂型结石患者于彩超引导下多通道经皮肾镜联合气压弹道碎石术的临床资料。结果:39例患者中21例建立2个通道,18例建立3个通道;36例一期取净结石,清除率92.31%3,例术后复查发现结石残留,术后2周行体外冲击波碎石术后排净。手术时间50～160 min,平均(84±30.0)min,术中出血平均(359.6±112.3)ml。无严重并发症发生。结论:彩超引导下多通道经皮肾镜高效、可靠、安全,具有患者损伤小、出血少及康复快等优点,是治疗复杂型肾结石的有效措施。Objective： To investigate the clinical value of color ultrasound guided multiple-channel percutaneous nephrolithotripsy in the treatment of complex renal calculi. Methods：The retrospective analysis was made on the clinical data of 39 patients who suffered from complex renal calculi and underwent color ultrasound guided multiple-channel percutaneous nephrolithotripsy and pneumatic lithotripsy. Results：Two channels were made in 21 patients,and three channels in 18 patients.The stones were cleared completely in 36 patients（92.31%） during phase Ⅰ lithotripsy.Residual calculi were found in 3 patients and were removed by shock wave lithotripsy 2 weeks later.Operative time ranged from 50 to 160 min,with the average of（84±30.0） min.Mean operative blood loss was（359.6±112.3） ml.Severe complications did not occur. Conclusions：Color ultrasound guided multiple-channel percutaneous nephrolithotripsy is an effective treatment for complex renal calculi.It is reliable,safe,mini-invasive,and with superiority of little blood loss and quick recovery.

关 键 词：肾结石 超声检查 多普勒 彩色 经皮 肾镜检查 碎石术 

分 类 号：R692.4[医药卫生—泌尿科学]