超声引导多通道经皮肾镜取石术治疗复杂性肾结石  

Ultrasound guided multiple-channel percutaneous nephrolithotomy for complex renal calculi

作　　者：黎卫[1] 李志坚[1] 黄红星[1] 石映江[1] 罗刚[1] 郑轶群[1] 龚朝阳[1] 曹彬[1] 

机构地区：[1]广东省中山市人民医院泌尿外科,528403

出　　处：《中华腔镜泌尿外科杂志（电子版）》2012年第4期26-28,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的评估超声引导多通道微创经皮肾镜取石术(PCNL)治疗复杂性肾结石的方法及效果。方法对46例接受超声引导微创多通道PCNL的患者进行回顾性分析。其中鹿角型肾结石8例,多发性肾结石38例。部分残留结石行二期或三期手术取石。结果双通道取石40例,三通道6例;一期取净率76.1%,总结石取尽率为95.6%;一期手术平均手术时间1.8h。手术平均出血量240ml。结论超声引导多通道PCNL治疗复杂性肾结石安全、有效。Objective To evaluate the method and effect of ultrasound guided multiple-channel minimally invasive percutaneous nephrolithotripsy for complex renal calculi. Methods The clinical data of 46 patients who underwent ultrasound guided multiple-channel minimally invasive pereutaneous nephrolithotomy were reviewed, including 38 cases with multiple renal stones and 8 cases with staghorn calculi. Results Forty cases were established two channels, and 6 cases were established three channels. The stone clearance rate in stage I was 76.1%, and the total clearance rate was 95.6%. The average opera- tion time in stage I was 1.8 h, and the average volume of blood loss was 240 ml. Conclusions Ultrasound guided minimally invasive percutaneous nephrolithotripsy via poly-channels is a safe and effective way to treat complex renal calculi.

关 键 词：超声引导 ① 多通道 肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]