经皮肾微造瘘术后二期经皮输尿管镜取石术治疗鹿角形结石  

Management of staghorn stones by two stage antiureterolithotripsy through the mininephrostomy

作　　者：吴开俊[1] 李逊[1] 袁坚[1] 郭文键[1] 单炽昌[1] 

机构地区：[1]广州医学院第一附属医院腔内泌尿外科碎石研究室

出　　处：《广州医学院学报》1993年第2期13-16,共4页Academic Journal of Guangzhou Medical College

摘　　要：从88年2月至91年12月,我院应用经皮肾微造瘘后,二期采用经皮输尿管镜取石术,配合体外冲击波或经皮肾镜治疗鹿角形结石共68例,其中28例先行体外冲击波碎石,因结石未能击碎或排出,随后进行经皮肾微造瘘后,二期行经皮输尿管镜取石术。40例有计划先行经皮肾微造瘘后,二期行经皮输尿管镜或肾镜取石术,再配以体外冲击波碎石。68例,共行经皮输尿管镜或肾镜132次,术中无一例输血,也未发现有其他合并症如:术后出血,高热,狭窄等,三个月后结石清除率为81～84%。本文详细介绍经皮肾微造瘘术和经皮输尿管镜取石术,并对鹿角形结石处理,进行了讨论。68 cases of staghorn stones have been treated by two stage antiureterolithotripsy through mininephrostomy and combined with E. S. W. L. from February, 1988 to December, 1992. Among them, 28 cases were treated with E. S. W. L. followed by Antiureterolithotripsy through the mininephrostomy and 40 cases were treated by using antiureteroscopy or nephroscopy with ultrasond lithotripter and combined with E. S. W. L. There are 132 sessions of such percutaneous procedure carried out in this series but no major complication occured, no need blood transfusion. The stone free rate after 3 months was 81%～84%. This article introduces the techniques of mininephrostomy and the antiureterolithotripsy. Also discusses the clinic managemen of staghorn stones.

关 键 词：经皮肾微造瘘 经皮输尿管镜取石术 经皮肾镜取石术 

分 类 号：R[医药卫生]