经皮肾镜EMS第四代气压弹道联合超声碎石清石系统治疗复杂性肾结石80例  

Treatment of complex renal calculi by percutaneous nephrolithotomy using the EMS fourth generation pneumatic lithotripsy combined with and ultrasound lithotripsy

作　　者：夏宏辉[1] 杨伟锋[1] 王可兵[1] 李文杰[1] 汤珺[1] 方建明[1] 沈军[1] 崔建军[1] 郭国响[1] 刘建[1] 叶军[1] 

机构地区：[1]广东医学院附属南山医院泌尿外科,广东深圳518052

出　　处：《海南医学》2013年第10期1503-1504,共2页Hainan Medical Journal

基　　金：深圳市南山区科技研发资金资助项目[南科卫(201003)号]

摘　　要：目的探讨经皮肾镜下EMS第四代气压弹道联合超声碎石清石系统治疗复杂性肾结石的疗效。方法回顾性分析80例经皮肾镜下EMS第四代气压弹道联合超声碎石清石系统治疗复杂性肾结石患者的临床资料，其中铸型结石33例，多发肾结石30例，感染隍兰舌石17例，结石长径为1．8-6．0cm。结果手术均成功，平均手术时间120min，术中平均失血50ml，平均住院时间9d，术后复查碎石效果满意。结论经皮肾镜下EMS第四代气压弹道联合超声碎石清石系统治疗复杂性肾结石出血少、碎石清石效率高、并发症发生率低，是一种安全有效的治疗方法。Objective To explore the clinical effect of the EMS fourth generation pneumatic lithotripsy com- bined with ultrasound lithotripsy in percutaneous renal to treat complex renal calculi. Methods Eighty patients with com- plex renal calculi were included, including 33 patients with staghom stones, 30 patients with multiple stones andl7 patients with infective stones. The renal calculi size ranged from 1.8-6.0 cm. Results All operations were successful. The average operation time was 120 min, the intraoperative average blood loss was 50 ml, and the average length of hospital stay was 9 days. The results of operation were satisfactory. Conclusion The EMS fourth generation pneumatic lithotfipsy combined with ultrasound lithotripsy has advantages of less bleeding, higher efficiency and fewer complications in treatment for com- plex renal calculi. Therefore it is the safe and effective method for the treatment of complex renal calculi.

关 键 词：经皮肾镜 气压弹道联合超声碎石 复杂性肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]