| 经皮肾镜下气压弹道碎石联合超声碎石术治疗复杂性肾结石疗效观察 |
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| 引用本文： | 李建兴,田溪泉,张军晖,曹栋威,邢念增. 经皮肾镜下气压弹道碎石联合超声碎石术治疗复杂性肾结石疗效观察[J]. 临床泌尿外科杂志, 2004, 19(9): 534-535 |
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| 作者姓名： | 李建兴 田溪泉 张军晖 曹栋威 邢念增 |
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| 作者单位： | 首都医科大学附属北京朝阳医院泌尿外科,北京,100020;济南铁路中心医院泌尿外科 |
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| 摘 要： | 目的：评价经皮肾镜下气压弹道碎石联合超声碎石术处理复杂性肾结石的疗效。方法：自2003年9月～2004年4月采用经皮肾镜下气压弹道碎石联合超声碎石术Ⅰ期治疗肾结石38例42侧。结果：平均手术时间85min，结石处理时间62min，结石清除率88．1％；5例多发性结石或铸形结石患者经皮通道小角度的肾盏内有直径小于1cm结石残留，辅助施行体外冲击波碎石治疗。随访1～3个月，无严重手术并发症。结论：经皮肾镜下气压弹道碎石联合超声碎石术处理大的复杂性肾结石具有高效、安全的特点，结石清除率高，值得临床推广应用。
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| 关 键 词： | 肾结石 内窥镜术 碎石术 |
| 文章编号： | 1001-1420(2004)09-0534-02 |
| 修稿时间： | 2004-07-10 |
Clinical efficacy of a combined pneumatic and ultrasound lithotripsy during percutaneous nephrolithotomy |
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| LI Jianxing TIAN Xiquan ZHANG Junhui CAO Dongwei XING Nianzeng. Clinical efficacy of a combined pneumatic and ultrasound lithotripsy during percutaneous nephrolithotomy[J]. Journal of Clinical Urology, 2004, 19(9): 534-535 |
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| Authors: | LI Jianxing TIAN Xiquan ZHANG Junhui CAO Dongwei XING Nianzeng |
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| Affiliation: | LI Jianxing 1 TIAN Xiquan 1 ZHANG Junhui 1 CAO Dongwei 2 XING Nianzeng 1 |
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| Abstract: | Objective:To investigate the clinical efficacy of combined contact pneumatic and ultrasound lithotripsy during percutaneous nephrolithotomy.Method:From Sep 2003 to Apr 2004, 42 renal units in 38 patients underwent percutaneous nephrolithotomy using a combined pneumatic and ultrasonic lithotrite.Clinical data was analyzed retrospectively.Results:The average time for whole surgery was 85 min and the time for complete stone clearance was 62 min. The stone clearance rate was 88.1 % and 5 cases had a residual stone smaller than 1.0 cm due to an inaccessible location. No complication occurred during nephrolithotomy after 1 to 3 month fellow up.Conclusion:The combined pneumatic and ultrasonic device appears to be efficacious and safe for disintegrating and removing large and complex renal calculi. |
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| Keywords: | Kidney calculus Lithotripsy Percutaneous nephrolithotomy |
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