B超引导下经皮肾镜气压弹道联合超声碎石术治疗复杂肾结石  

Percutaneous nephrolithotomy with pneumatic and ultrasonic lithotripter guided by B ultrasound for complex renal calculi

作　　者：姜华[1] 陈明[1] 柳靖[1] 胡向农[1] 张晓文[1] 杨瑜[1] 陈恕求[1] 许斌[1] 

机构地区：[1]东南大学附属中大医院泌尿外科,江苏省210009

出　　处：《江苏医药》2012年第17期2028-2030,共3页Jiangsu Medical Journal

基　　金：国家自然科学基金(81070592);江苏省自然科学基金(BK2009275)

摘　　要：目的研究B超引导下经皮肾镜气压弹道联合超声碎石术的疗效及安全性。方法回顾性分析采用EMSⅣ代气压弹道联合超声经皮肾镜碎石术治疗100例(102侧)肾结石患者的临床资料。结果手术均获得成功。单侧结石平均碎石时间约100min,总结石清除率91.2%。9例术后残留直径<1cm的结石,2周后接受体外冲击波碎石治疗排空;1例患者因出血,术后行超选择性肾动脉栓塞。结论 B超引导下气压弹道联合超声经皮肾镜碎石治疗肾结石具有安全、创伤小、成功率高等优点。Objective To study the efficiency and safety of percutaneous nephrolithotomy （PCNL） with pneumatic and ultrasonic lithotripter under the guide of B ultrasound for complex renal calculi. Methods Data of 100 patients（102 kidneys） underwent PCNL using the EMS IV pneumatic and ultrasonic lithotripter were analyzed retrospectively. Results The average of operative time was 100 minutes, the total stone-free rate was 91.2%. Nine cases were found to have residual stones less than 1.0 cm in diameter after operation. The patients received ESWL treatment two weeks later, of whom one Case received hyperseleetive renal artery embolization because of bleeding after operation. Conclusion PCNL with pneumatic and ultrasonic li,thotripter guided by B ultrasound is a safe and less traumatic method with high success rate for the treatment of complex renal calculi.

关 键 词：B超 经皮肾镜碎石术 肾结石 

分 类 号：R692[医药卫生—泌尿科学]