摘要
目的总结微造瘘经皮肾镜取石术(minimally invasive percutaneous nephrolithotomy,mPC-NL)处理上尿路结石并肾周积液的经验。方法上尿路结石合并肾周积液9例,均采用mPCNL,尽量吸尽积液,取净结石后输尿管常规置入双J管及肾造瘘管引流。结果8例取净结石,仅1例残留肾小盏结石,肾周积液均消失。一月后B超或CT复查,肾积水较术前减少。结论上尿路结石合并急性梗阻引起尿外渗肾周积液,采用mPCNL一期穿刺取石及抽液,置双J管及肾造瘘引流,疗效确切,可缩短住院时间。
Objective To summarize the experiences of minimally invasive percutaneous nephrolithotomy （mPCNL） for treatment of upper urinary calculi with hydroperinephrosis. Method 9 cases of renal or upper ureter calculi with hydroperinephrosis were received mPCNL, the effusion absorbing, double J-tube inplaced and drainage. Results Calculi were cleared completely in 8 cases, except one of residual renal calices stone. The hydroperinephrosis was disappeared in all cases. Conclusion The＇management of mPCNL, double J-tube inplaced and drainage of nephrostomy can obtained a good efficacy for treatment of upper urinary calculi with hydroperinephrosis
出处
《中国现代手术学杂志》
2008年第6期459-460,共2页
Chinese Journal of Modern Operative Surgery
关键词
尿路结石
肾造口术
经皮
urinary calculi
nephrostomy, percutaneous
