超声引导下一期多通道经皮肾镜取石术治疗铸型肾结石62例效果分析  

Effect analysis of using multi- tract percutaneous nephrolithotomy guided by ltrasonography in treatment of nephritic staghorn calculi during one- stage operation: 62 cases

作　　者：宋彦[1] 金玮[1] 徐振群[1] 费翔[1] 

机构地区：[1]中国医科大学附属盛京医院,沈阳110004

出　　处：《山东医药》2016年第4期22-24,I0002,共4页Shandong Medical Journal

基　　金：辽宁省教育厅科学研究项目(L2015587)

摘　　要：目的探讨超声引导下一期多通道经皮肾镜取石术(PCNL)治疗铸型肾结石的有效性及安全性。方法回顾性分析采用一期多通道(24 F)PCNL治疗铸型肾结石62例(64肾)的临床效果及并发症。结果 64肾均完成一期手术碎石,术后48 h CT检查显示完全净石49肾(76.6%)、CIRF 12肾(18.8%)、残石>4 mm3肾(4.7%,采用ESWL碎石后残石顺利排出)。手术时间(82.44±21.28)min。术后18例(29.1%)出现并发症,其中ClavienⅠ级12例、Ⅱ级6例,未见Ⅲ级及以上并发症。结论彩色超声引导下一期多通道PCNL清除铸型肾结石效果好,且较为安全。Objective To evaluate the safety and efficacy of muhi-tract percutaneous nephrolithotomy （PCNL） guided by uhrasonography （US） in treatment of nephritic staghorn calculi during one-stage operation. Methods We retrospectively analyzed the clinical effects and complications of 62 cases （64 kidney） of patients with nephrotie staghorn calculi treated by multi-tract （24F） PCNL during one-stage operation. Results The one-stage multi-tract PCNL were finished on 64 kidneys. After 48 hours, there were 49 （76.6%） kidneys with stone-free, 12 kidneys （ 18.8% ） with CIRF and 3 kidneys （4.7%） with residual stone （ 〉 4 mm3 , the residual stones were discharged by ESWL successfully）. The mean operation time was （82.44±21.28） min. Eighteen cases （29. 1% ） with complications were found, including 12 cases of grade Ⅰ , 6 cases of grade Ⅱ, and no complications above grade Ⅲ. Conclusion US-guided multi-tract PCNL in treatment of nephritic staghorn calculi during one-stage operation is safe and feasible.

关 键 词：肾结石 铸型肾结石 经皮肾镜取石术 多通道 一期手术 B型超声 

分 类 号：R692.4[医药卫生—泌尿科学]