摘要
目的探讨超声引导下微创经皮肾镜取石术(MPCNL)在上尿路结石治疗中的临床疗效及其应用价值。方法2006年6月-2007年10月106例上尿路结石患者在B超引导下行微创经皮肾镜取石术治疗,术后输尿管内均放置双J管,所有患者均随访1～3个月。结果行MPCNL治疗的106例患者均一期单通道取石,结石清除率89.62%(95/106);平均手术时间(80.0±10.5)min(40～230min);术后平均住院时间(5.8±1.2)d(4～15d);术中出血平均100mL(30～600mL),输血3例(2.84%);术后并发大出血2例(1.88%),经输血对症治疗后行开放手术治疗治愈;术后发热59例(55.66%),其中T>38.5℃9例(8.49%);尿液转清时间平均(2.8±1.1)d(2～5d)。结论超声引导下行MPCNL治疗上尿路结石具有微创、高效、安全和并发症少等优势,患者术后恢复快,具有临床推广应用价值。
Objective To evaluate the clinical effect and explore the value of treatment of upper urinary calculi with minimally invasive percutaneous nephrolithotomy under the guidance by B-ultrasound. Methods The clinical data of 106 patients from June 2006 to Oct 2007 which underwent MPCNL by ultrasound guidance were reviewed. Double J stents were used in all cases . All of the patients were followed up 1-3 months. Results They were treated with one-stage and single tract. The stone clearance rate was 89. 62% （95/106）; the average operative duration was （80.0±10.5）minutes（40-230 min） ; the mean hospital stay was（5.8±1.2）d（5-15 d） ;the mean volume of bleeding was 100 mL（30-600 mL）during operation, 3 case with blood transfusion （2.84%） ;2 case were complicated with severe bleeding after procedure and with blood transfusion and changed into open surgery（1.88%） ;59 cases were fever after operation （55.66 %）and 9 cases of them T〉38.5 ℃（8.49%） ;the average time of blood urine was （2.8±1.1）d（2-5 d）. Conclusion Less trauma,high success rate,safe and less complications are the merits of MPCNL with ultrasound guidance. It is an ideal method in the treatment of calculus in upper urinary and worthwhile to be widely used in clinical.
出处
《实用临床医学（江西）》
CAS
2009年第1期35-37,42,共4页
Practical Clinical Medicine
基金
江西省卫生厅课题(20043062)
