| 经皮肾镜气压弹道联合超声碎石治疗上尿路感染性结石 |
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| 引用本文： | 岳明,陈锐,崔志刚,刘小勇,刘刚.经皮肾镜气压弹道联合超声碎石治疗上尿路感染性结石[J].医疗保健器具,2010,17(6). |
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| 作者姓名： | 岳明 陈锐 崔志刚 刘小勇 刘刚 |
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| 作者单位： | 解放军306医院泌尿外科,北京,100101 |
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| 摘 要： | 目的探讨经皮肾镜治疗输尿管上段结石及肾结石并感染的疗效。方法对肾、输尿上段结石并感染较轻者,经控制感染后I期行经皮肾镜气压弹道联合超声碎石术37例;合并较严重感染者先期行经皮肾造瘘、Ⅱ期经皮肾镜气压弹道联合超声碎石术17例。结果 I期行经皮肾镜气压弹道联合超声碎石术37例中,4例术后出现高热(>39℃),7例术后体温在38℃～39℃,其余26例术后体温<38℃。Ⅱ期经皮肾镜气压弹道联合超声碎石术17例,所有病例Ⅱ期经瘘道碎石取石术后体温均<38℃。结论对于输尿管上段及肾结石并感染患者,经抗炎治疗后复查,血象、体温正常,无腰痛,估计手术时间较短者,选择I期经皮肾镜碎石取石术;否则,选择Ⅱ期经皮肾镜术。
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| 关 键 词： | 经皮肾镜 上尿路结石 感染 |
The Treatment of Percutaneous Nephrostomy with Pneumatic and Ultrasonic Lithotripsy for the Upper Urinary Tract Infection Stones |
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| YUE Ming,CHEN Rui,CUI Zhigang,LIU Xiaoyang,LIU Gang.The Treatment of Percutaneous Nephrostomy with Pneumatic and Ultrasonic Lithotripsy for the Upper Urinary Tract Infection Stones[J].Medicine Healthcare Apparatus,2010,17(6). |
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| Authors: | YUE Ming CHEN Rui CUI Zhigang LIU Xiaoyang LIU Gang |
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| Institution: | YUE Ming; CHEN Rui; CUI Zhigang; LIU Xiaoyong; LIU Gang(Department of Urology; 306 Hospital of PLA; Beijing 100101; China); |
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| Abstract: | Objective To summarize the clinical experience of percutaneous nephrostomy with pneumatic and ultrasonic lithotripsy for the treatment of upper urinary tract infection stones.Methods Thirty-seven cases of upper ureteral stone and renal stone with gentle infection were treated with one-stage percutaneous nephrostomy with pneumatic and ultrasonic lithotripsy.Seventeen cases with severe infection were treated with two-stage percutaneous nephrostomy with pneumatic and ultrasonic lithotripsy.Results In the thirt... |
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| Keywords: | Percutaneous nephrostomy Upper urinary tract stone Infection |
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