| C型臂X线定位MPCN治疗复杂性肾结石48例 |
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| 引用本文： | 蔡昌龙,陈文忠,李明月,刘云飞.C型臂X线定位MPCN治疗复杂性肾结石48例[J].吉林医学,2011,32(13):2521-2522. |
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| 作者姓名： | 蔡昌龙 陈文忠 李明月 刘云飞 |
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| 作者单位： | 广东省东莞市塘厦医院泌尿外科;广州医学院第一附属医院泌尿外科微创中心; |
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| 摘 要： | 目的:探讨C型臂X线定位微创经皮肾穿刺造瘘取石术(MPCNL)在治疗复杂性肾结石的临床应用。方法:对48例复杂性肾结石患者,在C型臂X线机定位下选择最佳目标肾盏作为第1个经皮肾穿刺通道,对于该工作通道取不到的结石再用C型臂重新定位穿刺,建立第2个或以上经皮肾通道。结果:对48例患者施行共53例次MPCNL,其中43例I期完成,5例II期完成;单通道取石36例次,双通道及双通道以上取石17例次;结石清除率9 5%;术中平均出血量100 m l,术中均不需输血;术后无严重并发症发生,肾造瘘管术后3~5 d内拔除,术后住院时间7~10 d,平均8 d;双J管术后1~3个月内拔除。结论:C型臂X线定位微创经皮肾穿刺造瘘取石术是治疗复杂性肾结石的一种有效方法,具有创伤小、恢复快、并发症少的优势。
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| 关 键 词： | 经皮肾镜取石术 肾结石 |
Treatment of nephrolith with micro-percutaneus nephrolitbotomy guided by C-arm X-ray:a report of 48 cases |
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| CAI Chang-long,CHEN Wen-zhong,LI Ming-yue,et al.Treatment of nephrolith with micro-percutaneus nephrolitbotomy guided by C-arm X-ray:a report of 48 cases[J].Jilin Medical Journal,2011,32(13):2521-2522. |
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| Authors: | CAI Chang-long CHEN Wen-zhong LI Ming-yue |
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| Institution: | CAI Chang-long1,CHEN Wen-zhong2,LI Ming-yue1,et al(1.Guangdong Dongguan Tangxia Hospital,Dongguan 523721,China,2.Department of Urology,Minimally Invasive Surgery Center,Frist Affiliated Hospital of Guangzhou Medicle College,Guangzhou 510230,China) |
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| Abstract: | Objective To discuss the feasibility of nephrolith treatment with percutaneous nephrolithotomy guided by C-arm X-ray.Method On 48 cases of patients with nephrolith,c-arm x-ray positioning down to choose the best target calyx as first percutaneous nephrolithotomy channel,the channel access stones with c-arm positioning,puncture,the establishment of 2 or more kidney channels.Results On a total of 48 cases of carrying out of the 53 cases,of which 43 cases MPCNL I period is complete,phase II completed in 5 case... |
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| Keywords: | Nephrolith Pereutaneous nephrolithotomy |
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