| 微创经皮肾取石术治疗无积水肾结石 |
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| 引用本文： | 夏强,赖建生,郑东升,赵国平,陈虎.微创经皮肾取石术治疗无积水肾结石[J].中国微创外科杂志,2008,8(3):258-259. |
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| 作者姓名： | 夏强 赖建生 郑东升 赵国平 陈虎 |
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| 作者单位： | 广东省江门市人民医院泌尿外科,江门,529050 |
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| 摘 要： | 目的探讨微创经皮肾穿刺气压弹道碎石取石(minipercutaneous nephrolithotripsy,MPCNL)治疗无积水肾结石的效果。方法对无积水肾结石47例,经输尿管导管注入生理盐水,制造"人工肾积水",C形臂X线机定位穿刺,扩张至F16,建立经皮肾取石通道,使用WolfEMS气压弹道碎石机击碎结石。结果手术时间(120±35)min。单通道取石38例,双通道取石6例,三通道取石3例。一次取石35例,二次取石12例。结石手术取净率83.0%(39/47),最终排净率93.6%(44/47)。无严重并发症。结论对于无积水肾结石,MPCNL技术要求较高,掌握无积水肾结石的解剖特点和PCNL的技巧,可以达到积水肾结石相类似的疗效,同样具有创伤小、结石残留率低、并发症少、康复快等优点,是一种安全、微创、有效的治疗方法。
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| 关 键 词： | 经皮肾碎石术 肾 结石 |
| 文章编号： | 1009-6604(2008)03-0258-02 |
| 修稿时间： | 2007年7月9日 |
Mini Percutaneous Nephrolithotripsy for Non nephredema Renal Calculi |
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| Institution: | Xia Qiang; Lai Jiansheng; Zheng Dongsheng; et al. Department of Urology; Jiangmen People’s Hospital; Jiangmen 529050; China; |
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| Abstract: | Objective To study the effect of mini percutaneous nephrolithotripsy (MPCNL) for non-nephredema kidney calculi. Methods A total of 47 patients with non-nephredema kidney calculi were enrolled in this study. Physiological saline solution was infused into the kidney through a ureteral catheter to induce hydronephrosis. C-arm X-ray machine was employed in percutaneous puncture and Wolf EMS was used to smash the calculi. Results The mean operation time was (120±35) min.The calculi were removed through one passa... |
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| Keywords: | Percutaneous nephrolithotripsy Kidney Calculi |
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