| 经皮肾输尿管镜碎石取石术联合ESWL治疗肾功能不全的孤立肾鹿角形结石 |
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| 引用本文： | 文瀚东,潘铁军,李志强,钱卫红,刘志敏. 经皮肾输尿管镜碎石取石术联合ESWL治疗肾功能不全的孤立肾鹿角形结石[J]. 中国微创外科杂志, 2005, 5(6): 444-445 |
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| 作者姓名： | 文瀚东 潘铁军 李志强 钱卫红 刘志敏 |
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| 作者单位： | 广州军区武汉总医院泌尿外科,武汉,430070 |
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| 摘 要： | 目的探讨经皮肾输尿管镜碎石取石术联合ESWL治疗肾功能不全的孤立肾鹿角形结石的疗效. 方法经皮肾穿刺微造瘘延期输尿管镜下碎石取石术(minimally invasive percutaneous nephrolithotomy,MPCNL)联合体外冲击波碎石(extracorporeal shock wave lithotripsy,ESWL)治疗肾功能不全的孤立肾鹿角形结石8例. 结果 5例取尽结石,3例残余结石.术中未输血,未出现严重手术并发症.术后肾功能有不同程度的改善,血Cr由术前(289±166)μmol/L降至(155±33)μmol/L (t=4.69,P=0.004),血BUN由术前(15.1±7.9) mmol/L降至(8.3±1.9)mmol/L(t=4.00,P=0.005) ,ECT检查GFR由术前(48.8±12.4) ml/s升高至(63.0±8.4)ml/s(t=4.68,P=0.003).术后肾后性梗阻消失.8例随访0.5～4.5 年,平均2.8年,肾功能较术后无明显变化. 结论 MPCNL结合ESWL治疗肾功能不全的孤立肾鹿角形结石安全、疗效好.
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| 关 键 词： | 肾结石 经皮肾造瘘碎石术 体外冲击波碎石 肾功能 |
| 文章编号： | 1009-6604(2005)06-0444-02 |
| 修稿时间： | 2004-11-05 |
A combination of minimally invasive percutaneous nephrolithotomy and extracorporeal shockwave lithotripsy for solitary renal staghorn calculi in patients with renal insufficiency |
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| Wen Handong,Pan Tiejun,Li Zhiqiang,et al.. A combination of minimally invasive percutaneous nephrolithotomy and extracorporeal shockwave lithotripsy for solitary renal staghorn calculi in patients with renal insufficiency[J]. Chinese Journal of Minimally Invasive Surgery, 2005, 5(6): 444-445 |
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| Authors: | Wen Handong Pan Tiejun Li Zhiqiang et al. |
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| Affiliation: | Wen Handong,Pan Tiejun,Li Zhiqiang,et al. Department of Urology,Wuhan General Hospital of Guangzhou Command of the PLA,Wuhan 430070,China |
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| Abstract: | |
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| Keywords: | Renal calculus Percutaneous nephrolithotomy Extracorporeal shockwave lithotripsy Renal function |
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