摘要
目的:探讨B超引导下肾上盏入路经皮肾镜取石术(PCNL)治疗肾铸型结石的安全性及临床疗效。方法:我们于2005年1月~2011年8月对27例肾铸型结石采用B超引导下肾上盏入路PCNL。建立经皮肾通道F24,经皮肾镜下EMS碎石清系统碎石。回顾性分析27例患者的手术时间、结石清除率、并发症等临床资料。结果:本组27例均成功建立经肾上盏通道,其中经第11肋间25例,经第12肋下2例。手术时间50~140min,平均85min。一期结石清除率85.2%(23/27)。胸腔积液1例(3.7%),输血1例(3.7%),无重要脏器损伤及其他严重并发症。结论:B超引导下肾上盏入路PCNL治疗铸型肾结石安全、有效。
Objective:To evaluate the efficacy and safety of upper pole access for percutaneous nephrolithotomy (PCNL) under Bultrasound guidance for kidney staghorn calculi treatment. Method:From January 2005 to August 2011, we treated 27 patients of kidney staghorn calculi by upper pole access for PCNL under B--ultrasound guid- ance. Working tunnels F24 were established through the 11th intercostals or below the 12th ribs . EMS was used to disintegrate and remove stones by nephroscopy. Clinical data including operation time, complications and stone free rate were analyzed retrospectively. Result:All the operations were successfully completed. Among these cases, there were 25 cases through the ]lth intercostals, 2 cases below the i2th ribs . The average operation time was 85 minutes ( range from 50 minutes to 140 minutes) . Stone-free rate is 85.2%(23/27)for single procedure. 1 cases (3.7 % ) had hydrothorax and one patient (3.7 % )required blood transfusion. The patients had no important organ injury and no other severe complications. Conclusion:Upper pole access for percutaneous nephrolithotomy under B- ultrasound guidance for kidney staghorn calculi is an effective and safe therapy.
出处
《临床泌尿外科杂志》
2013年第2期87-88,92,共3页
Journal of Clinical Urology
关键词
经皮肾镜
上盏入路
肾铸型结石
percutaneous nephrolithotomy
upper pole access
Kidney staghorn calculi