彩超引导标准通道经皮肾镜双导管碎石清石术治疗鹿角形肾结石疗效分析  

Effect analysis of staghorn calculi treated under two-catheter percutaneous nephrolithotomy by color Doppler ultrasound guidance

作　　者：刘波[1] 何长海[1] 王鸿[1] 

机构地区：[1]河南省南阳市第一人民医院泌尿外科,河南南阳473000

出　　处：《中国当代医药》2011年第35期98-99,共2页China Modern Medicine

摘　　要：目的:探讨彩超引导经皮肾镜双导管碎石清石术治疗鹿角形肾结石的临床疗效。方法:37例鹿角形肾结石患者中,均在彩超引导下穿刺建立经皮标准肾通道,采用CYBERWAND双导管超声碎石清石治疗。结果:36例穿刺成功,1例穿刺失败,Ⅱ期穿刺成功。Ⅰ期完全取石32例,2例Ⅱ期取石,3例残留结石配合体外碎石治疗。28例单通道,9例2通道。Ⅰ期结石取净率为86.5%。手术时间为55～145min。结论:彩超引导经皮肾镜碎石取石术治疗鹿角形结石具有创伤小、清石率高、并发症少等优势,对大多数鹿角形结石可作为首选治疗方案。Objective： To investigate the clinical efficacy of staghorn calculi treated under two-catheter percutaneous nephrolithotomy by color Doppler ultrasound guidance. Methods： Thirty seven patients of staghorn calculi were given percutaneous nephroscopy by color Doppler ultrasound guidance and CYBERWAND two-catheter ultrasound lithotripsy. Resuits： In 37 patients, there were 36 cases of successful puncture, and 1 case of failure puncture, but puncture successfully in phase I1. There were 32 cases of complete calculus removed in stage I, 2 cases of complete calculus removed in Phase II, and 3 cases of residual stones with Lithotripsy. There were 28 cases by single-channel and 9 cases by two-channel. The rate of complete calculus removed in stage I was 86.5% and operation time was 55-145 minutes. Conclusion： It has less trauma, higher rate of calculus removed and fewer complications and should be the first choice management modality for staghorn calculi that two-catheter percutaneous nephrolithotomy by color Doppler ultrasound guidance.

关 键 词：经皮肾镜 碎石清石 鹿角形结石 彩超 

分 类 号：R445.1[医药卫生—影像医学与核医学]