标准通道经皮肾镜术治疗肾结石体会  

Treatment experience of kidney calculi with STandard puncture passage of percutaneous nephrolithotomy Duchun Guoliang

作　　者：杜春[1] 郭亮[1] 

机构地区：[1]西双版纳州人民医院泌尿外科

出　　处：《西藏医药》2013年第4期11-13,共3页Tibetan Medicine

摘　　要：目的探讨标准通道经皮肾穿刺取石术治疗肾结石的疗效。方法总结分析采用24F标准通道经皮肾穿刺取石术双导管碎石系统治疗肾结石100例，其中19例为双侧肾结石的临床资料。结果全部病例成功建立经皮肾通道。Ⅰ期取石32例，Ⅱ期取石60例，Ⅲ期取石8例结石总清除率91．％。手术时间50～180min，平均85min，出血30～600mL，平均出血120mL，输血病例13例，胸膜损伤1例，发热15例，随访1～12个月，无严重并发症。结论标准通道经皮肾穿刺取石术治疗肾结石疗效佳，效率高，安全，尤其适用于复杂肾结石的治疗。Objective to probe into the efficacy of STandard puncture passage of percutaneous nephrolithotomy for kidney calculi. Methods treatment for 100 kidney calculi through STandard puncture passage of percutaneous nephrolithotomy, and19cases with bilateral calculi in kidney were involved. Results cases succeeded in the conSTruction of STandard puncture passage of percutaneous nephrolithotomy, one tree operation cases ： 32, two time operation cases ： 60, three time operation cases ： 8, and the total clearance was 91 ~. all cases operation time was 50-- 180minutes, 85minutes average, bleeding ： 30 -- 60ml, 120mlaverage, blood transfusion.13cases, pleura injury： 1case,fever cases：15, all were followed forl--12months,and serious complication was not taken place. Conclusions it＇s viable of STandard puncture passage of percutaneous nephrolithotomy with efficacy and safety roy complicated kidney calculi.

关 键 词：标准通道 经皮肾镜 双导管碎石系统 

分 类 号：R692.4[医药卫生—泌尿科学]