B超引导经皮肾镜气压弹道联合超声碎石治疗肾结石

The combination of pneumatic and ultrasound lithotripsy during percutaneous nephrolithotomy under B type ultrasound guidance in the treatment of renal calculi

目的总结B超引导经皮肾镜气压弹道碎石联合超声碎石取石术的方法及效果。方法回顾性分析32例经皮肾镜气压弹道碎石联合超声碎石术患者的诊治资料。结果 32例患者1次取净结石28例,1周后经瘘管再行PCNL取净结石2例,2例多发性结石患者有直径<1 cm结石残留,辅助施行体外震波碎石治疗及排石药物治疗。随访1～6个月,无严重手术并发症。结论 B超引导经皮肾镜气压弹道联合超声碎石治疗复杂性肾结石具有高效、安全、恢复快、并发症少等特点。

Objective To explore the treatment of percutaneous nephrelithotripsy with pneumatic and ultrasanic cystolithotripsy for calculus pyonephrosis. Method The clinical data of 32 calculus pyone-phresis patients were analyzed retrospectively. Results The 32 patients were drained clearly, among whom 28 were lithotripsied completely primarily; rest 2 accepted the second operation and 2 accepted extracorporeal shock wave lithotripay. Conclusion Percurtaneous nephrolithotripsy with pneumatic and ultrasound cystolithotripsy treating calculus pyonephresis is of mini-trauma, effective, safe therapy.