| 经皮肾微造瘘输尿管镜碎石术治疗上尿路结石 |
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| 引用本文： | 辛军,辛明华,蔡经爽,黄书堤,苏智军. 经皮肾微造瘘输尿管镜碎石术治疗上尿路结石[J]. 实用全科医学, 2007, 5(4): 287-288 |
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| 作者姓名： | 辛军 辛明华 蔡经爽 黄书堤 苏智军 |
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| 作者单位： | 福建医科大学附属泉州市第一医院泌尿外科 362000泉州市 |
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| 基金项目： | 福建省泉州市科技计划;福建省泌尿外科专家基金 |
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| 摘 要： | 目的探讨经皮肾微造瘘输尿管镜碎石、取石术(PCNL)治疗肾、输尿管上段结石的临床疗效。方法在B超引导下经皮肾穿刺造瘘,并将穿刺通道扩张至F14-18,从通道插入输尿管镜到结石处,用气压弹道碎石机将结石击碎,取出碎石片。结果26例患者,17例一期取净结石,4例1周后二期取净结石,5例肾盏内有小块结石残留,经体外冲击波碎石(ESWL)或软性肾镜取石后治愈。结论经皮肾微造瘘碎石、取石术创伤小、疗效好,可作为治疗肾、输尿管上段复杂结石的重要疗法,若与ESWL结合疗效更佳。
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| 关 键 词： | 碎石术 输尿管镜 尿路结石 |
| 文章编号： | 1672-1764（2007）04-0287-02 |
| 修稿时间： | 2006-11-16 |
Percutaneous Nephrolithotripsy for the Treatment of Upper Urinary Tract Stones |
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| XIN Jun, XIN Ming-hua, CAI Jing- shuang,et al. Percutaneous Nephrolithotripsy for the Treatment of Upper Urinary Tract Stones[J]. Applied Journal Of General Practice, 2007, 5(4): 287-288 |
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| Authors: | XIN Jun XIN Ming-hua CAI Jing- shuang et al |
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| Affiliation: | Department of Urology, the First Hospital of Quanzhou,the Affiliated Hospital of Fujian Medical University,Fujian 362000, China |
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| Abstract: | Objective To evaluate the curative effect of renal or upper ureteral stones by means of percutaneous nephrolithotripsy(PCNL).Methods Percutaneous nephrostomy under ultrasonography was performed.The tracts were dilated to 16 or 18F.Through these tracts,the stones were broken into small pieces by pneumatic lithotriptor and then removed by ureteroscope.Results In the 26 cases,the stones were cleared off at one section in 17 cases,two sections in 4 cases after one week and 5 cases were cured by extracorporeal shock-wave lithotripsy(ESWL) or soft nephroscope after PCNL.Conclusions PCNL is believed to be a minimal invasive and good effective method for the treatment of renal or upper ureteral stones.The result would be better if PCNL combined with ESWL. |
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| Keywords: | Lithotripsy Ureteroscope Urinary calculus |
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