论文部分内容阅读
目的:探讨运用超声引导下微创经皮肾镜取石术治疗肾结石的疗效及适应证。方法:回顾性分析2006年4月～2009年2月间采用超声引导下微创经皮肾镜取石术治疗肾结石患者363例共367只肾的临床资料。结果:363例367只肾中,B超定位引导下成功穿刺并建立人工取石通道者360例364只肾(99.18%);一期手术取石342例,二期手术22例;一次清石成功率为82.83%(304/367肾),11例(3.00%)需二次取石手术,49例术后1个月需辅以ESWL治疗。全部患者术后解除结石梗阻。手术平均时间约118min,出血量在20～550ml之间,平均130ml,平均住院日11.6d。结论:B超引导下微创经皮肾镜取石术治疗肾结石成功率高,创伤小,安全可靠,值得在临床上推广使用。
Objective: To explore the use of ultrasound guided minimally invasive percutaneous nephrolithotomy lithiasis in the treatment of indications and indications. Methods: The clinical data of 363 patients with renal calculi treated with minimally invasive percutaneous nephrolithotomy guided by ultrasound were retrospectively analyzed from April 2006 to February 2009. Results: Of the 363 367 kidneys, 360 cases of 364 nephrons (99.18%) were successfully punctured under the guidance of B-ultrasound guided positioning, and 342 cases of artificial stone access were obtained. There were 342 cases of primary stone in operation and 22 cases of secondary surgery. 82.83% (304/367 kidney), 11 cases (3.00%) required secondary stone surgery, and 49 cases required one month after ESWL treatment. All patients were relieved of stone obstruction. The average operation time was about 118min, the amount of bleeding was between 20 ~ 550ml, an average of 130ml, the average length of stay was 11.6d. Conclusion: B-guided minimally invasive percutaneous nephrolithotomy in the treatment of renal stones with high success rate, less trauma, safe and reliable, it is worth promoting in clinical use.