摘要
探讨微创通道经皮肾镜结合输尿管软镜钬激光碎石术治疗肾下盏结石的疗效及安全性。方法:分析38例肾脏下盏结石的临床资料,采用G20通道经皮肾镜在B超定位下,选择肾脏中盏穿刺通道结合输尿管软镜钬激光碎石术治疗肾下盏结石38例。结果:38例肾下盏结石患者平均手术治疗时间为2.28h,住院天数为11.5d。术后复查KUB平片,33例患者一期排净结石,结石清除率为86.8%,其中2例患者因通道不成功改二期手术,3例患者有少量残石,带双J管行ESWL,无严重并发症发生。结论:G20微创通道经皮肾镜结合输尿管软镜钬激光碎石术是治疗肾脏下盏结石合适的选择,能安全有效提高一期手术成功率及结石清除率。
Objective： To explore the efficacy and safety of minimally invasive percutaneous nephrolithotripsy （MPCNI.） combined with flexible ureteroscope holmium laser lithotripsy for the treatment of lower pole caliceal stones. Methods： MPCNL with a G20 minimally invasive renal access, which established through middle calyx un- der ultrasonic guidance,combined with flexible ureteroscope holmium laser lithotripsy was performed in 38 patients suffuring form lower pole caliceal stones hospitalized in our ward. Results.. The mean operative time was 2.28h and the mean length of hospital stay was 11.5day. of all the 38 cases,33 achieved stone-free in 1 session and 2 cases needed a second treatment due to unsatisfied renal access,besides,3 cases with residual calculi were retained doub- le-J stents and treated with ESWL, however, no serious complications were observed. Conclusions： For lower pole caliceal stones,G20 MPCNL combined with flexible ureteroscope holmium laser lithotripsy is a good choice since it can improve stone clearance safely and efficiently,and finally improve the success rate of one-session surgery.
出处
《临床泌尿外科杂志》
2012年第8期581-582,585,共3页
Journal of Clinical Urology
关键词
肾下盏结石
微创通道经皮肾镜
输尿管软镜
钬激光碎石
lower pole caliceal stones
minimally invasive percutaneous nephrolithotripsy
flexible uretero-scope
holmium laser lithotripsy
