微创经皮肾镜碎石取石术治疗鹿角形肾结石52例分析

翁责茗; 贾万伟; 张建球; 薛川; 蔡雅富

微创经皮肾镜碎石取石术治疗鹿角形肾结石52例分析

- 1 浙江省宁海第一医院泌尿外科(浙江宁波宁海, 315600);
- 2 解放军第113 医院泌尿外科

详细信息

通讯作者: 翁责茗,E-mail:wengzem@sina.com

中图分类号: R692.4

收稿日期: 2011-10-30

Minimally invasive percutaneous nephrolithotripsy in patients with staghorn calculi:an analysis of 52 cases

- 1. Department of Urology, First Hospital, Zhejiang Ninghai, Ningbo, 315600, China;
- 2. Department of Urology, People's Liberation Army No. 113 Hospital

More Information

Corresponding author: WENG Zeming, E-mail: wengzem@sina.com

Received Date: 30 October 2011

摘要

摘要: 目的:探讨微创经皮肾镜碎石取石术(mPCNL)治疗鹿角形肾结石的疗效和安全性。方法:应用PCNL治疗52例鹿角形肾结石,采用实时彩色多普勒超声引导穿刺、扩张建立F₁₆微通道,钬激光粉碎结石。统计结石清除率以及手术并发症等。结果:52例均一期建立通道。一次治疗结石清除率71.2%,总清除率84.7%,术后2例出现发热,未发生脏器损伤和感染性休克病例。结论:mPCNL治疗鹿角形肾结石效率高、出血量少,是治疗鹿角形肾结石的安全、有效方法。
- 鹿角形肾结石 /
- 微创经皮肾镜取石
Abstract: Objective:To investigate the efficacy and safety of ultrsonography-guided minimally invasive percutaneous nephrolithotomy(mPCNL) in management of renal staghorn calculi.Methods:52 patients with renal staghorn calculi had undergone mPCNL with holmium YAGlaser lithotripsy accessed by one steps dilation to F₁₆ tract with ultrasound guidance.Stone-free rate and complication were assessed.Results:The stone-free rate was 71.2% after the first session, 84.7% at the end of session. 2 cases had high fever after surgery, no other adverse event was noted. Conclusions:Invasive percutaneous nephrolithotomy in management of renal staghorn calculi can crash calculi quickly and reduce the time of operation,efficient technique and less trauma. It is an effective and safe technique for renal staghorn calculi.
- renal staghorn calculi /
- minimally invasive percutaneous nephrolithotomy

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参考文献(5)

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