微通道经皮肾镜双频激光碎石术治疗上尿路结石的体会  

Minimally invasive percutaneous nephrolithotomy with the frequency doubleddouble pulse laser in treatment of the upper urinary tract calculirt

作　　者：张国华[1] 章钟 阳王磊 王刚[1] 徐启鹏 汪锡兴 江金龙 ZHANG Guo-hua;ZHANG Zhong;YANG Wang-lei(The People's Hospital of Ningguo City,Ningguo 242300,Anhui)

机构地区：[1]宁国市人民医院泌尿外科,安徽宁国242300

出　　处：《安徽卫生职业技术学院学报》2018年第3期60-61,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨微通道经皮肾镜双频激光碎石术治疗上尿路结石的安全性和有效性。方法:采微通道经皮肾镜双频双脉冲(U100)激光碎石术治疗上尿路结石108例。结果:108例(100%)患者均获成功。手术时间60~190 min,结石清除率分别为:输尿管上段结石100%,肾盏或肾盂结石95%,部分鹿角形肾结石(联合ESWL)71.4%,无胸膜损伤、结肠穿孔、输尿管穿孔、大出血、感染性休克、失肾、死亡等并发症发生。结论:采用微通道经皮肾镜双频双脉冲(U100)激光碎石术治疗包括部分鹿角形肾结石在内的上尿路结石可获得较高的结石取净率,手术安全性高,是治疗上尿路结石的有效手段。Objective:To evaluate the effect and safe of minimally invasive percutaneous nephrolithotomy(MPCNL)with the frequency doubled-double pulse laser in the treatment of the upper urinary tract calculi.Methods:Thirty-eight cases with the upper urinary tract calculi were treated with MPCNL and frequencydoubled-double pulse laser.Results:108 cases(100%)were successful of total 38 patients,the operation time 60-190 min.The stone clearance rate in upper ureterolithiasis was 100%,nephrolithiasis was 95%,partial staghorn nephrolithiasis was 71.4%(combined the ESWL),and there was no seriously complication after operated,for instance pleural effusion,colon injury,ureter injury,massive haemorrhage,septic shock,no death and renal failure cases.Conclusions:Minimally invasive percutaneous nephrolithotomy with the frequency doubled-double pulse laser in treatment of the upper urinary tract calculi.including partial staghorn nephrolithiasis,can receive high rate of stone clearance,high safety,and lower surgical seriously complication,It is a safe and effective therapy for upper urinary tract calculi.

关 键 词：上尿路结石 微通道经皮肾镜取石术 双频双脉冲激光 

分 类 号：R446.1[医药卫生—诊断学]