B超引导经皮肾镜气压弹道碎石清石术38例

Pneumatic lithotripsy through percutaneous nephrolithotomy under the guidance of B-ultrasound (Report of 38 cases)

目的评价在B超引导下经皮肾镜气压弹道碎石清石术治疗肾结石的临床效果。方法在B超引导下对38例肾结石患者采用经皮肾镜气压弹道碎石清石术治疗,其中超声引导穿刺中盏20例、上盏4例、下盏14例。结果本组38例患者,手术一次成功32例,占84.21%。术后复查B超与X光腹部平片,5例有残余结石(占13%),均小于1.0cm以下。结论在B超引导下经皮肾镜气压弹道碎石清石术治疗肾结石手术成功率高,残石者较低,且安全、创伤小,具有临床应用价值。

Objective To investigate the clinical effect of pneumatic lithotripsy through percutaneous nephrolithotomy trader the guidance of B-ultrasound for treatment of renal calculi. Methods A total of 38 cases patients with renal calculi underwent pneumatic lithotripsy through percutaneous nephrolithotomy trader guidance of ultmsotmd. Among them,20 patients had middle caliceal stones; 4 had upper pole caliceal stones; and 14 had lower pole caliceal stones. Results The operation succeeded in 32 cases （84.21%） and failed in 6 cases （15.79 % ）. Five cases （13 % ） had residual stones, which could be found less than 1 cm in diameter by B-ultrasound and KUB after operation. Conclusion Pneumatic lithotripsy through percutaneous nephrolithotomy trader guidance of B-ultmsoand is a safe technique with less injury, less residual stones and high success rate, which plays an important role in the clinical practice.