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多通道经皮肾镜治疗复杂性肾结石疗效分析 被引量:12

Analysis on the Theraputic Effect of Multi-channel Percutaneous Nephrolithotomy for Staghorn Calculi
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摘要 目的探讨B超引导下多通道经皮肾镜治疗复杂性肾结石的方法及疗效。方法回顾性分析在B超引导下多通道经皮肾镜治疗复杂性肾结石61例(81例次)的临床资料。结果 61例均在B超引导下均建立了多通道,其中双通道56例,三通道5例。平均手术时间100 min,住院时间9~30 d,平均10.5 d,术中平均出血量120 mL,结石总清除率为96.7%。结论采用B超引导下多通道微创经皮肾镜治疗复杂性肾结石具有安全有效、结石清除率高、创伤小、并发症少等特点。 Objective To disucss the methods and effects of B ultrasound guided multi-channel percutaneous nephrolithotomy for staghorn calculi.Methods Review the clinical data of 61 cases(81 case/time) of B ultrasound guided multi-channel percutaneous nephrolithotomy for staghorn calculi.Results Precise multiple channels were established in all cases,includine 56 of two-channel and 5 of three-channel.The average operation time was 100 min,average hospitalization time 10.5 d(ranging from 9~30 d),average volume of blood loss 120 mL,total stone clearance rate 96.7%.Conclusion B ultrasound guided multi-channel percutaneous nephrolithotomy is a safe and effective way to treat staghorn calculi with the features of high stone clearance rate,small trauma and less complications etc.
出处 《医学综述》 2011年第9期1424-1425,共2页 Medical Recapitulate
关键词 复杂性肾结石 经皮肾镜 多通道 Staghorn calculi Percutaneous nephrolithotomy Multi-channel
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参考文献6

  • 1Matlaga BR,Kim SC,Watkins SL,et al.Percutaneous nephrolithotomy for ectopic kidneys:over,around,or through[J].Urology,2006,67(3):51.
  • 2Preminger GM,Assimos DG,Lingeman JE.AUA guideline on management of staghorn calculi:diagnosis and treatment recommendations[J].J Urol,2005,173(6):1991-2000.
  • 3Manish S,Aneesh S,Rakesh K,et al.Aggressive approach to staghorn calculi safety and efficacy of multiple tracts percutaneous nephrolithotomy[J].Urology,2008,71(6):103-1042.
  • 4李建兴,杨波,许清泉,等.B超引导1 306例标准经皮肾镜临床应用体会[C].第十三届全国泌尿外科学术会议论文集.沈阳,2006:31-32.
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