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B超引导下经皮肾镜钬激光治疗开放术后复杂性肾结石
引用本文:樊松,梁朝朝,郝宗耀,张贤生,周骏,张翼飞,邰胜,江长琴.B超引导下经皮肾镜钬激光治疗开放术后复杂性肾结石[J].国外医学:泌尿系统分册,2013(6):736-738.
作者姓名:樊松  梁朝朝  郝宗耀  张贤生  周骏  张翼飞  邰胜  江长琴
作者单位:合肥安徽医科大学第一附属医院泌尿外科,安徽230022
基金项目:安徽省卫生厅医学科研课题(09B128)
摘    要:目的 探讨B超引导经皮肾镜钬激光手术(PCNL)治疗开放手术后复杂性肾结石的手术技巧及临床效果.方法 回顾性分析2009年1月至2010年12月肾结石开放手术后复发性或残留复杂性结石35例患者临床资料,所有患者均曾行开放手术取石,其中曾行肾实质切开取石术20例,肾盂切开取石患者15例.多发性结石31例,铸型结石4例,单侧27例,双侧8例,合并尿路感染15例.结果 35例均成功建立通道并一期手术,其中单通道完成手术29例,双通道6例.经上组肾盏建立通道4例、中组肾盏建立通道16例,下组肾盏建立通道15例.平均手术时间117min,平均住院时间16d,一期手术清除结石29例,占82.9%.结论 B超引导经皮肾镜钬激光手术是治疗开放手术后肾结石微创、安全、有效方法.

关 键 词:肾结石  激光  固体  肾造口术  经皮

B ultrasound-guided holmium laser percutaneous nephrolithotomy in treatment of complicated renal calculi patients with open surgery history of kidney calculi
Institution:FAN Song, LIANG Chao - zhao, HAO Zong - yao, et al. Department of Urology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Abstract:Objectives To explore the efficiency and safty of B Ultrasound guided percutaneous nephro lithotomy in treatment of complicated renal calculi patients with open surgery history of kidney. Methods Retro spective analysis of clinical data of 35 patients from January 2009 to December 2010. All patients had history of open surgery , including Renal parenchyma incision in 20 cases, pyelolithotomy in 15 patients , Multiple stones in 31 ca ses, cast stones in 4 cases, unilateral in 27 cases, bilateral in 8 patients ,urinary tract infection in 15 cases. The stones volum was during g. 0 to 32. Ocm3. Results All cases were treated successfully in one session proce dure. Four cases were punctured and established tract through the top group renal calices, 16 through middle group and 15 through the lower group. The mean operative time was 117 minutes. The average length of stay was 16 days. Twenty nine cases were healed well one time( 83. 3% ). No severe complication occurred. Conclusions B ul trasound guided holmium laser pereutaneous renal surgery is a minimally invasive, safe and effective method for the treatment of kidney stones after open surgery.
Keywords:Kidney Calculi  Lasers  Solid - state  Nephrostomy  Percutaneous
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