B超引导下微创经皮肾镜取石术治疗肾结石363例报告  

Treatment of renaI calculi with minimally invasive percutaneous nephrolithotomy under ultrasounic guidance

作　　者：李明果[1] 林芝[1] 李成山[1] 潘正故[1] 黎承杨[1] 李茂宜[2] 

机构地区：[1]百色市人民医院泌尿外科,广西白色533000 [2]百色市人民医院超声诊断科

出　　处：《临床泌尿外科杂志》2012年第6期455-457,460,共4页Journal of Clinical Urology

摘　　要：目的:探讨运用超声引导下微创经皮肾镜取石术治疗肾结石的疗效及适应证。方法:回顾性分析2006年4月～2009年2月间采用超声引导下微创经皮肾镜取石术治疗肾结石患者363例共367只肾的临床资料。结果:363例367只肾中,B超定位引导下成功穿刺并建立人工取石通道者360例364只肾(99.18%);一期手术取石342例,二期手术22例;一次清石成功率为82.83%(304/367肾),11例(3.00%)需二次取石手术,49例术后1个月需辅以ESWL治疗。全部患者术后解除结石梗阻。手术平均时间约118min,出血量在20～550ml之间,平均130ml,平均住院日11.6d。结论:B超引导下微创经皮肾镜取石术治疗肾结石成功率高,创伤小,安全可靠,值得在临床上推广使用。Objective： To evaluate the therapeutic effect and adaptability of minimally invasive percutaneous nephrolithotomy（MPCNL） under ultrasounic guidance. Methods： The clinical data from 367 cases （363 patients） with renal calculi, treated with MPCNL under ultrasounic guidance, from Apirl 2006 to Fuberally 2009, were ret- rospectively analyzed. Results：Successful rate of pereutaneous transpiercing surgery guided by ultrasound and es- tablished artificial calculus-extracting passage was 99. 18% （364/367）. There were 342 cases were achieved by first-stage mpenl, 22 eases by second-stage. 82.83% （304/367）patients was achieved using MPCNL under ultfa- sounic guidance. 11 （3.00%）caese were in the second stage of the operation. 49 （13. 35%）cases had ESWL 1 month postoperatively. The average operative time was 118 minutes. Blood loss was from 20 to 550 ml, 130 ml in average. Average hospitalization stay was 11.6 days. Conclusions： MPCNL had a high success rate and less trau- ma. The technique is claimed to be safe and reliable, and is worthwhile to be widely used.

关 键 词：肾结石 微创经皮肾镜取石术 超声引导 

分 类 号：R692.4[医药卫生—泌尿科学]