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经皮肾镜治疗嵌顿性输尿管上段结石(附81例报告)
引用本文:奉友刚,高振利,石磊,刘庆祚,王建明,姜仁慧. 经皮肾镜治疗嵌顿性输尿管上段结石(附81例报告)[J]. 临床外科杂志, 2008, 16(10): 700-701
作者姓名:奉友刚  高振利  石磊  刘庆祚  王建明  姜仁慧
作者单位:青岛大学附属烟台毓璜顶医院泌尿外科,264000;青岛大学附属烟台毓璜顶医院泌尿外科,264000;青岛大学附属烟台毓璜顶医院泌尿外科,264000;青岛大学附属烟台毓璜顶医院泌尿外科,264000;青岛大学附属烟台毓璜顶医院泌尿外科,264000;青岛大学附属烟台毓璜顶医院泌尿外科,264000
摘    要:目的评价经皮肾镜下气压弹道联合超声碎石术处理嵌顿的输尿管上段结石的疗效。方法回顾性分析2005年6月至2008年4月采用经皮肾镜下气压弹道联合超声碎石术治疗嵌顿的输尿管上段结石81例临床资料。结果81例患者均成功建立皮肾通道,均一期单通道碎石,手术时间35—120min,结石完全清除率98.7%(80/81)。1例患者结石残留,经ESWL治疗;11例术后出现发热,给予适当的抗生素及支持性治疗;4例患者因术中出血输浓缩红细胞2U;均获治愈。随访1—9个月,无严重手术并发症。结论经皮肾镜下气压弹道联合超声碎石术用于处理嵌顿的输尿管上段结石是安全有效的方案。

关 键 词:输尿管结石  肾造口术  碎石术

Clinical efficacy of combined pneumatic and ultrasound lithotripsy under percutaneous nephrolithotomy for incarcerated proximal impacted ureteral stone (reports of 81 cases)
FENG You-gang,GAO Zhen-li,SHI Lei,et al.. Clinical efficacy of combined pneumatic and ultrasound lithotripsy under percutaneous nephrolithotomy for incarcerated proximal impacted ureteral stone (reports of 81 cases)[J]. Journal of Clinical Surgery, 2008, 16(10): 700-701
Authors:FENG You-gang  GAO Zhen-li  SHI Lei  et al.
Affiliation:FENG You-gang,GAO Zhen-li,SHI Lei,et al.(Department of Urology,Yuhuangding Hospital,Qingdao University,Yantai 264000,China)
Abstract:Objective To evaluate the clinical efficacy of impacted proximal ureteral stone treated by combined pneumatic and ultrasound lithotripsy under percutaneous nephrolithotomy(PCNL).Methods From June 2005 to April 2008,81 cases of incarcerated proximal ureteral stone underwent combined pneumatic and ultrasonic lithotripsy under PCNL.Results All the percutaneous renal tunnel was successfully established,of which 1 tunnel was used in 81 cases.All of them underwent one stage lithotripsy.Operation time ranged from ...
Keywords:ureteral stone  nephrostomy percutaneous  lithotripsy  
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