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微通道经皮肾输尿管镜钬激光碎石术治疗复杂性输尿管上段结石
引用本文:郝元元,王晓庆,姜凤鸣,王艳波,王春喜.微通道经皮肾输尿管镜钬激光碎石术治疗复杂性输尿管上段结石[J].中华腔镜泌尿外科杂志(电子版),2011,5(3):15-17.
作者姓名:郝元元  王晓庆  姜凤鸣  王艳波  王春喜
作者单位:吉林大学第一医院泌尿外科,长春,130021
摘    要:目的探讨超声引导下微通道经皮肾输尿管镜钬激光碎石术治疗复杂性输尿管上段结石的有效性和安全性。方法回顾性总结超声引导下微通道经皮肾输尿管镜钬激光碎石术治疗复杂性输尿管上段结石48例临床资料,分析手术时间、结石清除率、拔管时间、术后平均住院日、手术并发症等指标。结果48例均I期成功建立16F皮肾通道并成功碎石,平均手术时间24min,估计平均出血量60ml。术后复查超声、KUB,一次结石清除率100%,无大出血,无胸膜、结肠损伤等并发症。结论超声引导下微通道经皮肾输尿管镜钬激光碎石术是一种治疗复杂性输尿管上段结石比较安全、有效的方式。

关 键 词:超声  输尿管结石  微通道  经皮肾镜  钬激光

The safety and efficacy of ultrasound-guided minimally invasive percutaneous nephrolithotomy for the patients with complicated upper ureteral calculus
Authors:HAO Yuan-yuan  WANG Xiao-qing  JIANG Feng-ming  WANG Yan-bo  WANG Chun-xi
Institution:HAO Yuan-yuan,WANG Xiao-qing,JIANG Feng-ming,WANG Yan-bo,WANG Chun-xi.Department of Urology,the First Affiliated Hospital of Jilin University,Changchun 130021,China
Abstract:Objective The purpose of the study was to evaluate the safety and efficacy of ultrasound-guided minimally invasive percutaneous nephrolithotomy(mini-PCNL) for the patients with complicated upper ureteral calculus.Methods The clinical data of forty-eight patients with complicated upper ureteral calculus was retrospectively analyzed,all of the patients had undergone ultrasound-guided mini-PCNL.The parameters include operative time,the stone-free rate,the retention time of nephrostomy tube,the average postoper...
Keywords:Ultrasound  Ureter stone  Mini-invasive tract  Percutaneous nephrolithotomy  Holium laser  
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