摘要
目的:总结B超引导建立经皮肾镜通道处理肾盏结石的技巧。方法:收集2006年5月-2010年10月行B超引导经皮肾镜钬激光碎石取石术的78例肾盏结石患者的手术资料,观察穿刺通道位置及数目、手术时间、术中失血量和结石清除率。结果:全部手术均获成功,其中单通道取石58例,双通道15例,三通道5例,并以穿刺肾后组中盏为主,结石清除率92.3%。手术时间45～180 min,中位时间75 min;出血80～350 m1,中位出血量110 ml。无严重并发症发生。结论:熟悉肾盏结构和结石的相对位置关系、术前拟定最佳经皮肾穿刺通道、术中注重B超操作技巧可提高经皮肾镜处理肾盏结石疗效,降低并发症的发生率。
Objective： To summarize the skills in establishment of work tract for percutaneous nephrolithotomy under the guidance of B-ultrasonography for patients with renal calieeal calculi. Methods： Data of 78 cases of renal caliceal calculi, underwent percutaneous nephrolithotripsy under the guidance of B-ultrasonography from May 2006 to October 2010 were retrospectively analyzed. The number and location of percutaneous track, operative time, intraoperative blood loss, and stone-free rate were analyzed. Results： All operations were successful without serious complications. Single, dual and trial tract were established in 58, 15 and 5 cases, respectively, with most tracts through the middle calyx. The stone-free rate was 92.3 %. The mean operative time was 45 - 180 min, and the intraoperative blood loss was 80- 350 ml. Conclusions： Improved efficacy and fewer complications in percutaneous nephrolithotomy come with the familiarity of anatomy of renal ealiees and the location of renal .calculus, sufficient operative plan of optimal pereutaneous track, and the skilled application of B-ultrasonography.
出处
《新医学》
2011年第11期708-710,713,共4页
Journal of New Medicine
关键词
肾结石
肾盏
经皮肾镜取石术
B超
Renal calculus
Renal ealices
Percutaneous nephrolithotomy
B-ultrasonography
