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经皮肾穿气压弹道碎石联合体外冲击波碎石治疗上尿路结石
引用本文:文卫军,郑抗洪,刘关保,黄晓峰,梁光远,薛志强,苏建冰,黄蓉.经皮肾穿气压弹道碎石联合体外冲击波碎石治疗上尿路结石[J].岭南现代临床外科,2004,4(1):59-61.
作者姓名:文卫军  郑抗洪  刘关保  黄晓峰  梁光远  薛志强  苏建冰  黄蓉
作者单位:1. 佛山市顺德中西医结合医院外二科,佛山,528333
2. 佛山市顺德中西医结合医院放射科,佛山,528333
3. 佛山市顺德中西医结合医院碎石科,佛山,528333
摘    要:目的 探讨提高上尿路结石碎石成功率的微创治疗方法。方法 采用经皮肾穿微造瘘输尿管镜气压弹道碎石,术中放置双J管,术后配合体外冲击波碎石术(ESWL)治疗上尿路结石48例。结果 结石总排净率为89.1%,结石最小排净率79.2%,无严重并发症发生。结论 该方法结石排净率高,创伤较小,手术并发症少,是上尿路结石较为理想的微创治疗方法。

关 键 词:经皮肾穿气压弹道碎石术  体外冲击波碎石术  联合治疗  上尿路结石  手术方法
文章编号:1009-976X(2004)01-0059-03
修稿时间:2003年12月28

Percutaneous renal puncture and pneumatic ballistic lithotripsy combined with ESWL in the treatment of the caluculus of upper urinary tract
WEN Wei-jun,ZHENG Kang-hong,LIU Guan-bao,et al..Percutaneous renal puncture and pneumatic ballistic lithotripsy combined with ESWL in the treatment of the caluculus of upper urinary tract[J].Lingnan Modern Clinics in Surgery,2004,4(1):59-61.
Authors:WEN Wei-jun  ZHENG Kang-hong  LIU Guan-bao  
Institution:WEN Wei-jun,ZHENG Kang-hong,LIU Guan-bao,et al. The Second Deparment of Surgery,The Hospital of Combination of Chinese Traditi onal and Western Medicine of shunde.Foshan,Guandong 528333
Abstract:Objective To investigate the minimally invasive therapeutic method in the successful rate of lithotrispy of calculus of upper urinary tract. Metho ds 48 cases with calculus of upper urinary tract were treated by percutaneous mi cro-nephrostomy and ureteroscopic pneumatic ballistic lithotripsy.The double J tube was put during operation and the ESWL was combined after operation.Results Total evacuation rate of stone was 89 1%. No major complications were found af ter operation.Conclusion This method has a high evacuative rate of stone,minor i njury and less operative complications.It is an ideal manimally invasive method in the treatment of the calculus of upper urinary tract.
Keywords:Calculus of upper urinary tract  Pereutaneous renal puncture  Pne umatic ballistic lithotripsy  Extracorporeal shock were lithotripsy
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