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微创经皮肾穿刺取石术治疗输尿管上段结石45例分析
引用本文:李应龙,王勤章,丁国富,王江平.微创经皮肾穿刺取石术治疗输尿管上段结石45例分析[J].陕西医学杂志,2009,38(1):79-80.
作者姓名:李应龙  王勤章  丁国富  王江平
作者单位:新疆石河子大学医学院第一附属医院泌尿外科,石河子,832008
基金项目:新疆生产建设兵团政策引导类科技计划基金 
摘    要:目的:探讨微创经皮肾穿刺取石术在输尿管上段结石治疗中的疗效。方法:对45例输尿管上段结石病人采取微创经皮肾穿刺取石术治疗,并进行回顾性分析。结果:45例患者均一期取石成功,结石清除率100%。平均手术时间60min,术中估计出血量平均50ml,平均术后住院4.8d,无严重并发症发生。结论:微创经皮肾穿刺取石术疗效佳,损伤小,安全性较高,可作为治疗输尿管上段结石的有效方法。

关 键 词:输尿管结石/外科学  肾造口术  经皮  穿刺术

Treament of upper ureteral calculi with minimally invasive percutaneous nephrolithotomy:Report of 45 cases
Institution:Li Yinglong, Wang Qinzhang, Ding Guofu ,et al (Department of Urology, the First Affiliated Hospital of Medical College of Shihezi University, Shihezi 832008)
Abstract:Objective : To evaluate the effect of minimally invasive percutaneous nephrolithotomy (MPCNL)in treatment of upper ureteral calculi. Methods:A restrospective investigation was performed on 45 cases suffering from upper ureteral calculi,who were treated with MPCNL. Results:All the 45 (100%)were rendered stone-free at one-stage session. The average operation time was 60 minutes, estimated blood loss volume was 50ml, and the average hospitalization 4. 8 was days . No obvious complications were observed. Conclusion: MPCNL for upper ureteral calculi has advantages of high achievement ratio,less trauma , and satisfactory reliability. It is a highly efficient procedure in treatment of upper ureteral calculi.
Keywords:Ureteral calculi/surgery Nephrostomy  percutaneous Punctures
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