标准通道下肾镜结合输尿管镜治疗上尿路结石1120例报告  

Standard percutaneous nephrolithotomy and ureteroscopy treatment of upper urinary calculi

作　　者：尹继云[1] 吴志贤[2] 何文强[1] 孟晓[1] 王梅叶[1] 张文涛[1] 曲宪东[1] 

机构地区：[1]武警河南总队医院泌尿外科,郑州450052 [2]南京军区福州总医院泌尿外科

出　　处：《临床泌尿外科杂志》2012年第3期171-173,共3页Journal of Clinical Urology

摘　　要：目的:总结标准通道下以肾镜为主结合输尿管镜同时应用以降低上尿路结石残留率的临床经验。方法:2007年8月～2011年1月采用B超引导下建立标准通道以肾镜为主结合输尿管镜同时应用治疗上尿路结石患者1 120例,并记录手术时间、结石清除率、手术并发症等临床资料。结果:所有患者均成功建立F24皮肾通道,平均手术时间53min,术中失血量50～100ml,一期净石率91.2%(1 021/1 120)。38例患者术后发热,经抗感染治疗后好转;3例因术后继发出血,行选择性肾动脉栓塞,未出现气胸、肠道损伤等严重并发症。结论:标准通道下肾镜结合输尿管镜处理上尿路结石高效、安全,结石残留率低。Objective： To evaluate Clinical experience of B-ultrasound-guided Standard percutaneous nephrolithotomy and ureteroscopic combined pneumatic lithotripsy for treatment of upper urinary calculi. Methods： We retrospectively analyzed operative time, stone-free rate, complications and other clinical data of 1 120 patients with upper urinary calculi who underwent B-ultrasound-guided percutaneous nephrolithotomy and ureteroscopic combined pneumatic lithotripsy from Aug 2007 to Jan 2011. Results：The F24 percutaneous renal access was successfully established in all patients, the mean operative duration was 53 minutes, the intraoperative blood loss was 50-100 ml, The stone-free rate in Phase I was 91.2 % （1 021/1 120）, thirty-eight patients experienced transient postoperative fever that be improved with appropriate antibiotics treatment, three patients with postoperative hemorrhage underwent selective renal artery embolization,without pneumothorax, intestinal damage and other serious complications. Conclusions： B-ultrasound-guided Standard percutaneous nephrolithotomy and ureteroscopic treatment of upper urinary calculi is efficient, safe and low rate of residual stones.

关 键 词：上尿路结石 B超定位 经皮肾镜术 输尿管镜 碎石术 

分 类 号：R691.4[医药卫生—泌尿科学]