摘要
目的探讨B超X线联合引导下微创经皮肾镜治疗复杂性肾结石的可行性、疗效,探讨其临床价值。方法回顾性分析2009年1月～2010年3月我院36例B超X线联合引导下微创经皮肾镜治疗复杂性肾结石,对患者基本资料,结石大小,手术时间,出血量,相关并发症及结石清除率等进行分析。结果 36例均在B超X线联合引导下准确建立理想的双工作通道,结石一期清除率为80.56%,平均手术时间100min,术后中位住院时间13.5d(13～14d),术后5例行二期碎石术,1月后复查均无结石残留。18例术前血肌酐升高患者中16例恢复正常范围。结论采用B超X线联合引导下微创经皮肾镜治疗复杂性肾结石是安全、有效的手段,且术后并发症少,值得推广。
Objective To evaluate the therapeutic effect of minimally invasive percutaneous nephrolithotomy（MPCNL） under ultrasonic and X-ray guidance in the treatment of complicated renal calculi. Methods A retrospective analysis was conducted among 36 patients undergoing MPCNL under ultrasonic and X-ray guidance for complicated renal calculi. The general clinical data,stone size,operative time,blood loss,complications and stone clearance rate were analyzed. Results Double working channel was established accurately under ultrasonic and X-ray guidance in the 36 cases. The stone clearance rate in one treatment session was 80.56%,with an average operation time of 100 min and a mean hospital stay of 13.5 days（13-15 days） after operation. A second lithotripsy was performed in 5 cases and no residual renal calculi were found 1 month after the operation. Sixteen out of the 18 patients with preoperative elevation of serum creatinine recovered normal creatinine level after the operation. Conclusion MPCNL under ultrasonic and X-ray guidance is safe and effective for treatment of complicated renal calculi and is associated with few postoperative complications.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2011年第5期897-898,共2页
Journal of Southern Medical University
基金
广东省社会发展领域科技计划项目(00104361120218038)
关键词
肾结石
B超
X线
经皮肾穿刺取石
renal calculi
ultrasound
X-ray
percutaneous nephrolithotomy
作者简介
李虎，副主任医师，E-mail：doctorlihu@163．com
