PCNL超声气压弹道碎石系统治疗鹿角形结石的疗效评估  

Clinical efficacy of treating staghorn calculi under percutaneous nephrolithotomy combined with ultrasonic and pneumatic lithotripsy guided by B ultrasonography

作　　者：吴雄辉[1] 余祖虎 来永庆[1] 陈泽波[1] 倪梁朝[1] 杨尚琪[1] 

机构地区：[1]深圳市北京大学深圳医院泌尿外科,深圳518036

出　　处：《现代泌尿外科杂志》2015年第2期100-102,共3页Journal of Modern Urology

摘　　要：目的评估B超定位经皮肾镜超声气压弹道碎石系统(EMS系统)治疗鹿角形结石的疗效。方法鹿角形结石患者150例,采用B超定位经皮肾穿刺联合超声气压弹道碎石系统治疗结石。结果 150例患者总体手术平均时间为83min,术中平均出血量为142mL,术后平均住院时间为6.1d,结石取净率为92%;部分性鹿角形结石和完全性鹿角形结石平均手术时间分别为72、117min,平均出血量分别为128、183mL,平均住院时间5.9、6.7d,结石取净率94.7%、83.8%。所有患者均无术后严重并发症。结论 PCNL超声气压弹道碎石是一种安全有效的肾结石治疗方法,是治疗鹿角形结石的首选。Objective To evaluate the clinical efficacy of treating staghorn calculi under percutaneous nephrolithotomy（PCNL）combined with ultrasonic and pneumatic lithotripsy guided by B ultrasonography.Methods A total of 150 patients with staghorn calculi were treated with PCNL combined with EMS guided by ultrasound.Results Overall,the average operation time was 83 min,perioperative bleeding volume was 142 mL,average postoperative hospital stay was 6.1 days and clearance rate of stone was 92%.The average operation time,bleeding volume,hospitalization time,and stone clearance rate of partial staghorn calculi and complete staghorn calculi was 72,117 min,128,183 mL,5.9,6.7 days,and 94.7%,83.8%,respectively.No severe complication was observed after operation.Conclusion PCNL combined with pneumatic and ultrasonic lithotripsy is safe and effective for renal calculus and it is the preferred method for the treatment of staghorn calculi.

关 键 词：肾鹿角形结石 经皮肾镜 碎石取石术 

分 类 号：R692[医药卫生—泌尿科学]