B超引导下经皮肾镜治疗160例上尿路结石分析

Analysis of 160 cases of B ultrasound-guided percutaneous nephrolithotomy for treatment of upper urinary tract calculi

目的探讨B超引导下经皮肾镜联合气压弹道碎石取石术治疗泌尿系上尿路结石的临床疗效和安全性。方法回顾分析本院自2010年1月至2013年12月收治的160例泌尿系结石患者的临床资料,B超引导下定位进行经皮肾镜下气压弹道碎石、取石治疗。结果 160例除1例外均一期成功建立经皮肾通道。平均手术时间95min,术中出血平均100mL,平均住院时间12.5d,1次取净结石146例,2次取净5例,总结石清除率为94.4%,无气胸、腹腔脏器损伤等并发症发生。结论 B超引导下经皮肾镜碎石取石术是治疗泌尿系上尿路结石的有效方法,其成功率高、操作简单、患者创伤小、安全,值得临床推广应用。

Objective To discuss the clinical efficacy and safety of B ultrasound-guided percutaneous nephrolithotomy combined pneumatic lithotripsy and lithotomy for treatment of upper urinary tract calculi. Methods Clinical data of 160 patients with urinary calculi treated in our hospital from January 2010 to December 2013 was reviewed and analyzed. The patients had received B ul- trasound-guided percutaneous nephrolithotomy combined pneumatic lithotripsy and lithotomy treatment. Results A total of 160 cases except one had successfully establishment percutaneous nephrolithotomy channel for the first time. The average operating time was 95 minutes, the aver- age amount of bleeding was 100mL and the average length of stay was 12.5 days. Stones removed for one time in 146 cases, and stones removed for twice in 5 cases. The total stone clearance rate was 94.4%. There was no complication, such as pneumothorax and abdominal organ injuries occurred. Conclusion B ultrasound-guided percutaneous nephrolithotomy combined pneumatic lithotripsy and lithotomy is an effective method for treatment of upper urinary tract calculi, which has advantages of high success rate, simple operation, small patient trauma and safe. It is worthy of clinical promotion and application.