微通道经皮肾输尿管镜气压弹道碎石术治疗复杂性输尿管上段结石  

Minimally invasive prercutaneous nephrolithotomy for the patients with complicated upper ureteral calculus

作　　者：梁建奇 林灼怡 

机构地区：[1]恩平市人民医院泌尿外科,广东省恩平529400

出　　处：《中国基层医药》2013年第8期1169-1170,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨超声引导下微通道经皮肾输尿管镜气压弹道碎石术治疗复杂性输尿管上段结石的有效性和安全性。方法回顾性分析28例超声引导下微通道经皮肾输尿管镜气压弹道碎石术治疗复杂性输尿管上段结石患者的临床资料，分析手术时间、结石清除率、拔管时间、术后住院时间、手术并发症等指标。结果28例均I期成功建立16F皮肾通道并成功碎石，平均手术时间40min，平均出血量60ml。术后复查超声、尿路平片（KUB），一次结石清除率100％，无大出血及胸膜、结肠损伤等并发症。结论超声引导下微通道经皮肾输尿管镜气压弹道碎石术是一种治疗复杂性输尿管上段结石比较安全、有效的方式。Objective To explore the safety and efficacy of ultrasound-guided minimally invasive percutaneous nephrolithotomy（mini-PCNL） for the patients with complicated upper ureteral calculus. Methods The clinical data of 28 patients with complicated upper ureteral calculus was retrospectively analyzed, all of the patients had undergone ultrasound-guided mini-PCNL. The parameters included operative time, the stone-free rate, theretention time of nephrostomy tube,the average postoperative hospital stay and the complications. Results In all the 28 case,the 16F nephrostomy tract was established and the calculus were cleared successfully in one stage. The average operative time was 40 minutes, the average estimmate intraoperative blood loss was 60ml. The stone-free rate was 100% according to the uhrasonography or KUB after the surgery. There were no complications such as bleeding, the damage to pleura or intestines. Conclusion As the preferred treatment of complicated upper ureteral calculus, ultrasound-guided mini- PCNL is a safe and effective procedure.

关 键 词：输尿管结石 输尿管镜检查 肾造口术 经皮 气压弹道碎石术 

分 类 号：R699[医药卫生—泌尿科学]