经皮肾镜术中等离子柱状电极顺行切开治疗盏颈闭锁  

Endourethral electrolvaporization surgery with plasmakinetic energy in the treatment of renal calyceal atresia during percutaneous nephrolithotomy

作　　者：熊星[1] 贾灵华[1] 王金根[1] 包佑根[1] 

机构地区：[1]江西省人民医院泌尿外科,南昌330006

出　　处：《中华腔镜泌尿外科杂志（电子版）》2015年第4期12-14,共3页Chinese Journal of Endourology(Electronic Edition)

基　　金：江西省卫生厅普通计划(20155025)

摘　　要：目的 探讨经皮肾镜术中用等离子柱状电极顺行切开治疗肾盏颈闭锁的方法及疗效。方法 回顾性分析江西省人民医院2010年1月至2013年12月在经皮肾镜术中发现穿刺盏颈闭锁,而用等离子柱状电极切开治疗的10例患者的临床资料。结果 10例患者手术时间35-115 min,平均55 min,术中出血10-40 ml,术后平均住院时间7（6-9）d。术后3个月复查CT及静脉/排泄性尿路造影（IVU）,2例患者穿刺肾盏仍呈张力性扩张,其中1例孤立肾患者伴肾功能不全,再次行经皮肾镜盏颈切开术,另1例患者未合并结石及感染等表现,未行特殊治疗,其余患者穿刺肾盏无张力性扩张。结论 等离子柱状电极顺行切开治疗盏颈闭锁具有手术时间短、肾集合系统损伤小、肾功能损害轻、疗效显著等优点,可作为微创治疗盏颈闭锁的首选。Objectives To evaluate the clinical efficacy and safety of electrotomy with SuperPlus generator electrode in the treatment of renal calyceal atresia during percutaneous nephrolithotomy. Methods The clinical data of 10 patients with renal calyceal atresia and underwent electrotomy during percutaneous nephrolithotomy with SuperPlus generator electrode in Jiangxi Provincial People＇s Hospital from January 2010 to December 2013, were retrospectively analyzed. Results The mean operative time was 55 min （35-115 min）, intraoperative blood loss was 25 ml （10-40 ml）, postoperative hospital stay was 7 d（6-9d）. Three months after the optration, CT and IVU showed two patients＇ calyx was expended with tention, and one case with isolated kidney suffered CREA elevated and accepted secondary surgery. The other one did not get any special treatment. Conclosions Electrotomy with SuperPlus generator electrode in the treatment of renal calyceal atresia during percutaneous nephrolithotomy has characteristics of minimal invasion, short hospital stay, good efficacy in short term and repeated cases. This procedure could be used as the first choice for patients with renal calyceal atresia.

关 键 词：肾盏 闭锁 肾造口术 经皮 

分 类 号：R699.2[医药卫生—泌尿科学]