经皮肾镜加气压弹道超声联合碎石在临床中的应用

The clinical value of percutaneous nephro-scope ultrasonic lithotripsy with air pressure ballistic ultrasonic

目的:探讨经皮肾镜加气压弹道超声联合碎石在临床中的应用价值。方法:对79例上尿路结石患者在彩色B超实时引导下一期建立经皮肾通道,使用三代EMS超声气压弹道联合碎石清石系统进行碎石操作,观察治疗效果和并发症。结果:79例患者根据结石情况建立1～2个经皮肾通道,Ⅰ期皮肾镜取石术成功率87.3%(69/79)。其余10例患者中行二期皮肾镜取石术或辅以体外冲击波碎石治疗。最终治疗成功率96.2%(76/79)。并发症发生率为16.45%。结论:经皮肾镜加超声气压弹道联合治疗上尿路结石,安全有效,并发症低。

Objectives:To study the clinical value of percutaneous nephro-scope ultrasonic lithotripsy with air pressure ballistic ultrasonic.Methods:To establish percutaneous renal channel guided by the color B ultrasonic in 79 cases of patients with urinary stones,using EMS ultrasonic pressure ballistic to clear stone system for gravel operation,observing curative effect and complications.Results:79 patients according to the stone to establish a 1 ~ 2 percutaneous renal channel,Ⅰ period skin nephrolithotomy success rate 87.3%(69/79).The rest of the 10 patients with the second phase of skin nephrolithotomy,or by shock wave treatment in vitro rubble.Final treatment success rate 96.2%(76/79).Complication rate was 16.45%.Conclusion:Percutaneous nephro-scope ultrasonic lithotripsy with air pressure ballistic ultrasonic on urinary stones,safe and effective,low complication.