彩超引导下微通道经皮肾取石术治疗输尿管上段结石的临床研究  

Clinical study of ultrasound guided microchannel percutaneous nephrolithotomy for treatment of upper ureteral calculi

作　　者：冯建伟[1] 崔刚[1] 海向军[2] 乔弘宇 郎金田[1] 张志坚[1] 

机构地区：[1]北京市大兴区人民医院泌尿外科,北京102600 [2]西北民族大学,甘肃兰州730030

出　　处：《宁夏医学杂志》2015年第6期522-524,共3页Ningxia Medical Journal

摘　　要：目的 研究彩超引导下微通道经皮肾取石术治疗输尿管上段结石的临床疗效及安全性。 方法185例输尿管上段结石患者行彩超引导下微通道经皮肾取石术，分别对手术时间，一期结石清除率，术中术后并发症，术后住院时间等进行分析。 结果 185例均顺利完成手术。手术时间45～120min，平均（75.16±18.05） min，170例术中结石完全取净，一期结石清除率91.9%，3例术中发生输尿管微小穿孔，1例术后出现大出血采用介入栓塞处理，术后住院时间5～12d，平均（6.12±1.12）d。 结论 彩超引导下微通道经皮肾取石术治疗输尿管上段结石安全有效，碎石成功率高，并发症少，是治疗输尿管上段结石的理想方法。Objective To investigate the clinical efficacy and safety of ultrasound guided microchannel percutaneous nephro- lithotomy for treatment of upper ureteral calculi. Methods 185 patients with upper ureteral calculi underwent ultrasound guided micro- channel performed percutaneous nephrolithotomy. The operative time, stone clearance rate, intraoperative and postoperative complications, the time of hospitalization after operation were analyzed. Results In 185 cases the operation was all successful. Operation time was 45 - 120 min, and mean operative time was （75.16 ±18.05 ）min. 170 cases stones completely removed in operation ,and stone clearance rate was 91.9%. Micro perforation occurred in 3 cases of ureter, bleeding by interventional embolization treatment of one cases of postopera- tive ,the postoperative hospital stay was 5 - 12d,and mean hospital stay was 6.12 ± 1.12d. Conclusion Ultrasound guided microchannel percutaneous nephrolithotomy for treatment of upper ureteral calculi is safe and effective, and the successful rate of lithotripsy is higher, the complications is fewer. It is an ideal method for the treatment of upper ureteral calculi.

关 键 词：经皮肾镜取石术 微通道 输尿管结石 彩超引导 

分 类 号：R699.4[医药卫生—泌尿科学]