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个体化经皮肾镜碎石术方案探讨 被引量:2

Individualization of percutaneous nephrolithotomy
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摘要 目的经皮肾镜碎石术(percutaneous nephrolithotomy,PNL)是治疗肾结石的首选治疗方案,本研究旨在探讨一种合适的经皮。肾镜碎石术方案,以提高肾结石及输尿管上段结石的治愈率。方法回顾性分析676例肾结石及输尿管上段结石患者的临床资料,分析患者全身情况、结石特点及局部解剖结构等特点与成功穿刺碎石的相关性。结果所有患者均成功穿刺成功,676例患者共行经皮肾镜碎石术1557例次,最终净石率84.8%。术中术后并发症主要是出血,术中术后接受输血患者17例,其中8例行选择性肾动脉栓塞治疗。感染性休克2例,胸腔积液2例,无肠道、肝脏等腹腔脏器损伤。结论并非所有患者同一化穿刺方案行经皮。肾镜碎石取石术,应该个体化对待。 Objectives Percutaneous nephrolithotomy (PCNL) is the procedure of choice for treating large renal stones. This study was to explore an appropriate percutaneous nephrolithotomy. Methods Clinical data of 676 patients with kidneys and upper ureteral stones underwent the PCNL were analyzed. Results All patients were finished and the success rate was 100%. And 676 patients were treated by Percutaneous nephrolithotomy 1557 times. The total stone - free rate was 84.8%. The major complication was bleeding, 17 cases required blood transfusion, and 8 were controlled bleeding by selective renal artery embolization, shock in 2 patients and hydrothorax, no abdominal injury occurred. Conclusions Different patients have different anatomical structure, Percutaneous nephrolithotomy not be treated unification, but individualization.
机构地区 中国人民解放军
出处 《国际泌尿系统杂志》 2012年第4期439-442,共4页 International Journal of Urology and Nephrology
关键词 外科手术 内窥镜 碎石术 肾结石 输尿管结石 Surgical Procedures, Endoscopic Lithotripsy Kidney Calculi Ureteral Calculi
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参考文献22

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同被引文献14

  • 1李逊.经皮肾镜术[J].临床泌尿外科杂志,1996,11(6):365-367. 被引量:47
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  • 7Rana AM,Bhojwani JP,Junejo NN,et al.Tubeless PCNL with Patient in Supine Position:Procedure for all Seasons?-with Comprehensive Technique[J].Urology,2008,71 (4):581-585.
  • 8Hoznek AL,Rode J,Ouzaid I,et al.Modified supine percutaneous nephrolithotomy for large kidney and ureteral stones:technique and results[J].Eur Urol.2012,61 (1):164-170.
  • 9梁坚,李文雄,李峻,罗力,王森,王忠,曹明欣.侧卧位微创经皮肾镜碎石术治疗肾结石的临床应用价值[J].临床泌尿外科杂志,2008,23(6):443-445. 被引量:27
  • 10张晓波,唐正严,陈合群,谢志光.微创经皮肾镜与后腹腔镜在老年输尿管上段嵌顿性结石处理的评价[J].中华临床医师杂志(电子版),2010,4(10):178-179. 被引量:6

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