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经皮肾镜超声联合气压弹道碎石清石术治疗复杂性肾结石
引用本文:刘斌,邹志辉,崔维奇,谌辉鹏,罗庆华,汪强,李建兴.经皮肾镜超声联合气压弹道碎石清石术治疗复杂性肾结石[J].实用临床医学(江西),2010,11(2):39-41.
作者姓名:刘斌  邹志辉  崔维奇  谌辉鹏  罗庆华  汪强  李建兴
作者单位:南昌市第三医院泌尿外科;北京大学人民医院泌尿外科;
摘    要:目的评价I期经皮肾镜下超声联合气压弹道碎石清石术治疗复杂性肾结石的安全性及疗效。方法52例Ⅰ期复杂性肾结石在B超定位或C型臂X光机透视定位下,行经皮肾镜EMSⅢ代超声联合气压弹道碎石术。结果所有手术均获成功,无1例中转开放手术,术中无严重并发症。一次性手术结石清除率为78.8%(41/52),I期肾盂梗阻解除100%。手术时间40~65 min,平均52 min。术后平均住院时间为8 d。术后随访1~3个月,结石总清除率92.3%,无严重并发症。结论经皮肾镜下超声联合气压弹道碎石清石术具有安全、高效、微创的特点,值得临床推广应用。

关 键 词:肾结石  经皮肾镜取石术  超声  气压弹道碎石

Clinical Evaluation of Combined Pneumatic and Ultrasound Lithotripsy for Complex Renal Calculi
LIU Bing,ZOU Zhi-hui,CUI Wei-qi,CHEN Hui-peng,LUO Qing-hua,WANG Qiang,LI Jian-xing.Clinical Evaluation of Combined Pneumatic and Ultrasound Lithotripsy for Complex Renal Calculi[J].Practical Clinical Medicine,2010,11(2):39-41.
Authors:LIU Bing  ZOU Zhi-hui  CUI Wei-qi  CHEN Hui-peng  LUO Qing-hua  WANG Qiang  LI Jian-xing
Institution:1.Department of Urology/a>;Nanchang Third Hospital/a>;Nanchang 330009/a>;China/a>;2.Department of Urology/a>;Peking University People's Hospital/a>;Beijing 100020/a>;China
Abstract:Objective To evaluate the safety and clinical efficacy of combined pneumatic and ultrasound lithotripsy for complex renal calculi with simultaneous percutaneous nephrolithotomy.Methods 52 cases with complex renal calculi underwent simultaneous percutaneous nephrolithotomy(PCNL) by ultrasonic power of Swiss Lithoclast Master(EMSIII.Switzerland) with positioning perspective of B-ultrasonography or C-arm X-ray machine.Results All the operations were successful with no case transferred to open operation,no case...
Keywords:renal calculi  percutaneous nephrolithotomy  ultrasonic  pneumatic lithotrips  
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