摘要
目的 探讨复杂性肾结石开放性手术中应用腔镜技术减少手术并发症及减少残石率的经验.方法 对38例复杂性肾结石采用肾盂切开术中气压弹道碎石取石,输尿管镜、小儿膀胱镜取结石治疗.结果 38例患者34例1次手术将结石取尽;4例X线可见残石,但其中只有2例需要处理,此2例于术后1～2个月行体外冲击波碎石治愈.结论 在开放手术中配合气压弹道碎石、输尿管镜、小儿膀胱镜取结石治疗,是手术治疗复杂性肾结石中减少手术并发症及减少残石率的有效方式.
Objective To study the experience in the application of endoscopy to complex nephrolithiasis during open operation in order to decreasing complication and residual stone. Methods Thirty-eight patients with complex nephrolithiasis were treated with pneumatic ureteroscopic lithotripsy during pyelolithotomy, as well as lithotomy through ureteroscopy and pediatric cystoscopy. Results In 34 of the 38 patients, stones were removed at a time. Residual stdnes were seen under X-ray in four patients, only two ot whom needed treating. Conclusion It is effective on lowering complications and residual stones that pneumatic ureteroscopic lithotripsy plus ureteroscopy and pediatric cystoscopy is applied to complex nephrolithiasis during open operation.
出处
《临床军医杂志》
CAS
2006年第4期437-438,共2页
Clinical Journal of Medical Officers
关键词
肾结石
肾盂切开取石
气压弹道碎石
输尿管镜
nephrolithiasis
pyelolithotomy
pneumatic ureteroseopie lithotripsy
ureteroseopy
