摘要
目的评价经皮肾镜下气压弹道联合超声碎石术治疗肾结石的临床疗效及安全性。方法自2003年9月至2005年8月,采用经皮肾镜下气压弹道联合超声碎石术治疗486例509侧肾结石患者,对其临床资料进行回顾性分析。结果478例患者成功建立20．8-24F皮肾通道并Ⅰ期碎石,6例患者Ⅱ期碎石,2例因出血改开放手术。平均手术时间73 min,平均结石处理时间为41 min。本组未出现气胸、肠道损伤等手术并发症。术后复查KUB平片,438侧肾脏结石清除干净,净石率86．1％;71侧肾脏有结石残留,行二次肾镜取石,或辅助体外冲击波碎石治疗。结论经皮肾镜下气压弹道联合超声碎石术处理肾结石具有高效、安全的特点,值得临床推广应用。
Objective To investigate the clinical efficacy and safety of combining pneumatic and ultrasonic power during PCNL Methods From Sep 2003 to Aug 2005, we treated 486 patients （509 kidneys）by combining pneumatic and ultrasonic power during pereutaneous nephrolithotomy. Clinical data were analyzed retrospectively. Results The pereutaneous renal access was successfully established in 478 patients under ultrasound guidance and immediate phase Ⅰ lithotripsy was performed,and delayed phase Ⅱ lithotripsy was performed for 6 patients. Average time required for entire procedure is 73 mins, and average time for stone management is 41 mins. No severe complications occurred. No Residual stone fragment in 438 kidneys,stone free rate was 86.1%. Residual stone fragment was found in 71 kidneys by postoperative KUB and received second PCNL or adjuvant ESWL. Condusion The combined application of pneumatic and ultrasonic power in PCNL appears to be efficacious and safe for disintegrating and removing renal calculi.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2006年第28期1975-1977,共3页
National Medical Journal of China
关键词
肾结石
内窥镜术
碎石术
Renal calculi
Endoscopy
Lithotripsy
