超声联合气压弹道碎石术治疗高危复杂性肾结石35例临床分析  

Clinical study of ultrasonic lithotripsy combined with pneumatic lithotripsy in the treatment of high-risk and complex renal calculi: a report of 35 cases

作　　者：晁亮[1] 孙家庆[1] 王军起[1] 谢叔良[1] 吴永第[1] 崔增林[1] 王强[1] 孙光耀[1] 刘大闯[1] 

机构地区：[1]徐州医学院附属第三医院泌尿外科,江苏徐州221003

出　　处：《海南医学》2011年第22期85-87,共3页Hainan Medical Journal

摘　　要：目的探讨经皮肾镜下超声气压弹道碎石术治疗高危复杂性肾结石的疗效和安全性。方法回顾性分析35例高危复杂性肾结石患者经皮肾镜超声气压弹道碎石的临床资料。结果 35例40侧肾结石成功建立皮肾通道,一期取石34侧,取净26侧。二期取石11侧,取净8侧。结石取净率为85%(34/40)。单侧手术时间平均85min。术后输血2例,无内脏损伤、大出血及尿源性脓毒血症等并发症。结论经皮肾镜超声联合气压弹道碎石术是治疗高危复杂性肾结石创伤小、安全、高效的方法,积极的术前准备、熟练的经皮肾镜技术是降低手术风险、提高手术成功率的关键。Objective To evaluate the clinical efficacy and safety of percutaneous nephrolithotomy in combination with pneumatic and ultrasonic lithotripsy in the treatment of high-risk and complex renal calculi. Methods The clinical data of 35 cases of high-risk and complex renal calculi treated by percutaneous nephrolithotomy combined with pneumatic and ultrasonic lithotripsy were retrospectively analyzed. Results 40 sides of the 35 cases were successfully established with renal calculi skin and kidney channels. One-stage lithotripsy was performed on 34 sides, of which 26 sides had the renal calculi cleared off. Two-stage lithotripsy was performed on 11 sides, of which 8 sides had the renal calculi cleared off. The stone clearance rate was 85% （34/40）. The average operation time of unilateral surgery was 85 min. Two patients received postoperative blood transfusion. No complications （such as visceral injury, bleeding and urinary-derived sepsis were detected. Conclusion Percutaneous nephrolithotripsy combined with pneumatic and ultrasonic lithotripsy is safe and effective for patients with high-risk and complex renal alculi, with mild surgical trauma.

关 键 词：经皮肾镜 碎石术 肾结石 高危 

分 类 号：R692.4[医药卫生—泌尿科学]