| 微创经皮肾镜取石术治疗开放手术后肾结石 |
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| 引用本文： | 黄亚强,梅锋,欧远祥,孙明.微创经皮肾镜取石术治疗开放手术后肾结石[J].实用临床医学(江西),2010,11(4):33-35. |
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| 作者姓名： | 黄亚强 梅锋 欧远祥 孙明 |
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| 作者单位： | 中山市东凤医院外二科;江门市中心医院泌尿外科; |
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| 摘 要： | 目的探讨微创经皮肾镜取石术（MPCNL）治疗开放手术后残留或复发肾结石的有效性与安全性。方法有肾结石开放手术病史的肾结石患者18例,其中曾行肾实质切开取石术8例,肾盂切开取石患者10例,左侧11例,右侧7例。结石单发9例,多发6例,鹿角形3例,结石体积5.0～30.0 cm3。采用C臂X光机引导穿刺,建立16F工作通道,弹道碎石系统碎石。分析手术效果、并发症等。结果18例均成功建立通道并一期手术,其中单通道完成手术13例,双通道5例。经中组肾盏建立通道16例,行下组肾盏建立通道7例。平均手术时间90 min,一期手术清除结石15例,占83.3%。未发生围手术期严重并发症。结论MPCNL可作为治疗开放手术后残留或复发肾结石的安全有效方法。
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| 关 键 词： | 微创经皮肾镜取石术 开放手术后 肾结石 |
Minimally Invasive Percutaneous Nephrolithotomy in Treatment of Renal Calculi Patients with Open Surgery History of Kidney Stone |
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| HUANG Ya-qiang,MEI Feng,OU Yuan-xiang,SUN Ming.Minimally Invasive Percutaneous Nephrolithotomy in Treatment of Renal Calculi Patients with Open Surgery History of Kidney Stone[J].Practical Clinical Medicine,2010,11(4):33-35. |
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| Authors: | HUANG Ya-qiang MEI Feng OU Yuan-xiang SUN Ming |
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| Institution: | 1.2nd Department of Surgery/a>;Dongfeng Hospital of Zhongshan/a>;Zhongshan 528425/a>;China/a>;2.Department of Urological Surgery/a>;Central Hospital of Jiangmen/a>;Jiangmen 529000/a>;China |
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| Abstract: | Objective To explore the efficiency and safty of minimally invasive percutaneous nephrolithotomy in treatment of renal calculi patients with open surgery history of kidney.Methods 18 cases with renal calculi who had open surgery history of kidney were treated by Minimally invasive percutaneous nephrolithotomy.Eight patients had open nephrolithotomy,ten had pyelolithotomy.Eleven calculi were in the left kidney and seven in right side.Nine cases had single stone and six cases had multiple,and three cases had ... |
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| Keywords: | minimally invasive percutaneous nephrostomy open surgery kidney stone |
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