X线定位下经皮肾微造瘘钬激光碎石的临床应用  

Clinical application of MPCNL and holmium laser by X-ray positioning

作　　者：范其兵[1] 景遐勇[1] 费尚春[1] 

机构地区：[1]江苏省扬州市第一人民医院泌尿外科,江苏扬州225009

出　　处：《实用临床医药杂志》2012年第21期152-154,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11220137)

摘　　要：目的探讨X线定位下经皮肾微造瘘钬激光碎石治疗肾结石及输尿管结石的临床应用。方法应用30 W功率钬激光在X线定位下经皮肾穿刺微造瘘治疗66例肾结石患者及12例输尿管结石患者。结果72例患者完成一期手术取石，4例完成二期手术取石；2例中转开放手术。78例均为单通道取石，一次手术结石取净率87.2%, 总结石取净率89.7%。6例术后2周行体外冲击波碎石治疗残留结石。术后住院时间7～10 d, 平均（8.5±0.8） d; 术后2例患者出现高热，其中1例并发感染性休克。结论合理掌握适应症、具备良好的手术技巧、进行严密的术后处理是X线定位下经皮肾微造瘘钬激光碎石治疗肾结石、输尿管上段结石成功的有效保证。Objective To explore the clinical application of MPCNL and holmium laser by X -ray positioning on kidney stone and ureter stone. Methods Sixty-six patients with kidney stone and 12 patients with ureter stone received MPCNL and 30 W holmium laser by X-ray positioning. Results A total of 72 patients finished phase 1 surgery, while 4 patients finished phase 2 surgery, and 2 patients received open surgery. All of the 78 patients received single channel nephros- tolithotomy. The stone-free rate for once was 87.2 %, and the total stone-free rate was 89.7 %. Six patients received ESWL two weeks after operation. Two patients had a high fever after operation, and 1 patient had complicated infectious shock. Conclusion Mastering indications reasonably, good operation skills, strict treatment after operation are the guarantee of performing MPCNL and holmium laser by X-ray positioning on kidney stone and ureter stone.

关 键 词：经皮肾微造瘘 钬激光 肾结石 输尿管结石 

分 类 号：R693[医药卫生—泌尿科学]