经皮肾镜治疗上段输尿管结石分析  

Clinical analysisof the treatment of upper ureter calculi by mnimally invasive percutaneous nephrolithotomy

作　　者：雷国林 彭波[1] 

机构地区：[1]简阳市人民医院,四川简阳641400

出　　处：《四川医学》2013年第6期820-821,共2页Sichuan Medical Journal

摘　　要：目的探讨经皮肾镜碎石术治疗上段输尿管结石的安全性与有效性。方法回顾分析2008年1月～2012年6月182例上段输尿管结石行微创经皮肾镜治疗的资料。结果 172例中重度肾积水患者一期成功取净结石。5例患者术中发现肾积脓,给予肾穿刺造瘘,二期取净结石。5例患者改输尿管切开取石手术后成功取石。结论微创经皮肾镜治疗上段输尿管结石清除率较高,并发症低,经济方便,对病史超过2个月并有中重度积水的输尿管上段结石可作为首选。Objective To assess the safety and efficacy of minimally invasive percutaneous nephrolithotomy（MPCNL） on the treatment of upper ureter calculi.Methods The clinical data of 182 patients with upper ureter calculi,who received PCNL in our hospital from January 2004 to June 2011,were enrolled into this study.Results The stones were completed removed in one session in 172 cases.5 patients were found renal empyemata,given percutaneous nephrostomy to drainage sanies,and cured by anti-inflammation with sensitive antibiotics.Then the stones were removed in the second session.5 patients conversed to open surgery because of failed to find the ureter.Conclusion PCNL is effective and economic for upper ureter calculi with high clearance rate and low rate of complications.It can be the first choice for upper ureter calculi.

关 键 词：微创 经皮肾镜取石术 输尿管上段结石 

分 类 号：R699[医药卫生—泌尿科学]