[1]鲁可权,许承斌,曹希亮,等.经皮肾镜气压弹道超声联合碎石治疗上尿路结石[J].医学研究与战创伤救治(原医学研究生学报),2012,14(02):132-134.
LU Ke-quan,XU Cheng-bing,CAO Xi-liang,et al.Combined pneumatic and ultrasound lithotripsy in percutaneous nephrolithomy for upper urinary tract calculi[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(02):132-134.
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经皮肾镜气压弹道超声联合碎石治疗上尿路结石(
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LU Ke-quan,XU Cheng-bing,CAO Xi-liang,et al.Combined pneumatic and ultrasound lithotripsy in percutaneous nephrolithomy for upper urinary tract calculi[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(02):132-134.
)《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]
- 卷:
- 第14卷
- 期数:
- 2012年02期
- 页码:
- 132-134
- 栏目:
- 出版日期:
- 2012-03-20
文章信息/Info
- Title:
- Combined pneumatic and ultrasound lithotripsy in percutaneous nephrolithomy for upper urinary tract calculi
- 文章编号:
- 1672-271X(2012)02-0132-03
- 分类号:
- R691.4
- DOI:
- -
- 文献标志码:
- A
- 摘要:
- 目的 探讨超声定位引导下经皮肾镜气压弹道超声联合碎石术治疗上尿路结石的安全性及其疗效。方法 回顾分析经皮肾镜气压弹道超声联合碎石取石术治疗上尿路结石385例(401侧)的临床资料。结果 经皮肾镜碎石Ⅰ期手术364侧，平均手术时间51 min，平均出血110 ml，结合体外冲击波碎石，Ⅰ期单侧结石清除率84.8%(340/401)，行Ⅱ期手术37侧。结肠损伤1例，术后大出血需肾动脉栓塞止血3例，严重感染3例。无肾切除、中转开放及肾功能不全。术后肾造瘘管平均留置5 d，术后平均住院7 d。结论 超声定位经皮肾镜气压弹道超声联合碎石术治疗上尿路结石，具有损伤小，康复快，住院时间短，结石清除率高等优点，是治疗上尿路结石较好的选择。
- Abstract:
- Objective To investigate the safety and efficacy of combined pneumatic and ultrasound lithotripsy for upper urinary tract calculi by B-type ultrasound guidance in percutaneous nephrolithomy.Methods Three hundred and eighty-five cases(401 sides),who were treated by percutaneous nephrolithotripsy of using pneumatic and ultrasonic system(EMS Ⅳ) were reviewed retrospectively.Results Three hundred and sixty-four sides were performed on stage Ⅰ.The mean time of the operation was 51 minutes.The average blood loss was 110 ml.With the treatment of ESWL,the first calculi clearance leaded 84.8％.37 sides were performed on stage Ⅱ.One cases with colon injure was performed colostomy.3 cases with delayed hemorrhage were cured by selectivity thrombosis of renal artery,3 cases with severe sepsis.No nephrectomy,transferring to open operation and renal dysfunction were found.The mean time of indwelling pelvis fistula was 5 days,and the average lengths of stay after operation were 7 days.Conclusion The combined pneumatic and ultrasound lithotripsy in percutaneous nephrolithomy by B-type ultrasound guidance for upper urinary tract calculi have the advantage of small wound,rapid recovery,hospital time shorter and higher calculi clearance.It is a better choice for the treatment of upper urinary tract calculi．
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2012-03-20