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经皮肾镜处理上尿路结石并发肾周积液的体会(附9例临床报告)
引用本文:刘跃光,周先植,王怀亮,左右清,何浪,张小芳. 经皮肾镜处理上尿路结石并发肾周积液的体会(附9例临床报告)[J]. 中国现代手术学杂志, 2008, 12(6): 459-460
作者姓名:刘跃光  周先植  王怀亮  左右清  何浪  张小芳
作者单位:长沙星灿(泌尿微创)医院,长沙,410205
摘    要:目的总结微造瘘经皮肾镜取石术(minimally invasive percutaneous nephrolithotomy,mPC-NL)处理上尿路结石并肾周积液的经验。方法上尿路结石合并肾周积液9例,均采用mPCNL,尽量吸尽积液,取净结石后输尿管常规置入双J管及肾造瘘管引流。结果8例取净结石,仅1例残留肾小盏结石,肾周积液均消失。一月后B超或CT复查,肾积水较术前减少。结论上尿路结石合并急性梗阻引起尿外渗肾周积液,采用mPCNL一期穿刺取石及抽液,置双J管及肾造瘘引流,疗效确切,可缩短住院时间。

关 键 词:尿路结石  肾造口术  经皮

Clinical Experience of Minimally Invasive Percutaneous Nephrolithotomy for Upper Urinary Calculi with Hydroperinephrosis:9 Cases Report
LIU Yue-guang,ZHOU Xian-zhi,WANG Huai-liang,ZUO You-qing,HE Lang,ZHANG Xiao-fang. Clinical Experience of Minimally Invasive Percutaneous Nephrolithotomy for Upper Urinary Calculi with Hydroperinephrosis:9 Cases Report[J]. Chinese Journal of Modern Operative Surgery, 2008, 12(6): 459-460
Authors:LIU Yue-guang  ZHOU Xian-zhi  WANG Huai-liang  ZUO You-qing  HE Lang  ZHANG Xiao-fang
Affiliation:LIU Yue-guang,ZHOU Xian-zhi,WANG Huai-liang,ZUO You-qing,HE Lang,ZHANG Xiao-fang (Changsha Xingcan Hospital,Changsha 410205,Hunan,China)
Abstract:Objective To summarize the experiences of minimally invasive percutaneous nephrolithotomy (mPCNL) for treatment of upper urinary calculi with hydroperinephrosis. Method 9 cases of renal or upper ureter calculi with hydroperinephrosis were received mPCNL,the effusion absorbing,double J-tube inplaced and drainage. Results Calculi were cleared completely in 8 cases,except one of residual renal calices stone. The hydroperinephrosis was disappeared in all cases. Conclusion The management of mPCNL,double J-tube i...
Keywords:urinary calculi  nephrostomy  percutaneous  
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