超声引导经皮肾镜治疗复杂性肾结石的临床研究

【】目的： 探讨超声引导经皮肾镜治疗复杂性肾结石的疗效。 方法： 选取2011年8月-2016年6月在我院进行手术治疗的98例复杂性肾结石作为研究对象,所有患者均接受超声引导经皮肾镜治疗,现回顾分析这些患者的临床资料。 结果： 98例复杂性肾结石患者穿刺成功率为100%,手术时间52-119min,平均86min；住院时间11-18d,平均(14.3±3.5)d。术中并发症发生情况如下：术中大出血终止手术1例,胸膜损伤1例(1.0%)。术后并发症发生情况如下：尿源性脓毒血症5例(5.1%),抗感染治疗后痊愈。术后大出血3例(3.1%),给予输血、栓塞治疗后痊愈。经疗效评价,结石完全清除90例,少量残余5例,明显残余3例,结石清除率为91.83%。 结论：超声引导经皮肾镜具有穿刺定位准确、成功率高、可以实时监测穿刺过程、安全性高、结石清除率高、是治疗复杂性肾结石的较理想术式。

Clinical study on the treatment of complex renal calculi with percutaneous nephrolithotomy guided by ultrasound

Objective: To evaluate the efficacy of ultrasound-guided percutaneous nephrolithotomy for complex renal calculi. Methods: August 2011 -2016 June 98 cases of complex renal calculi surgery in our hospital as the research object, all patients underwent ultrasound guided percutaneous nephrolithotomy, we retrospectively analyzed the clinical data of these patients. Results: the success rate of 98 patients with complicated renal calculi was, the average operation time was 52-119min, the average hospitalization time was 86min, and the average hospitalization time was 11-18d (14.3 ± 3.5) d. The intraoperative complications were as follows: 1 cases were treated with intraoperative hemorrhage, and pleural injury occurred in 1 cases (1%). The postoperative complications were as follows: 5 cases of urinary sepsis (5.1%) were cured after anti infection therapy. Postoperative hemorrhage was found in 3 cases (3.1%). According to the curative effect evaluation, 90 cases were removed completely, a small amount of residual was found in all the patients, and there were significant residual in 3 cases, and the stone clearance rate was about 91.83%. Conclusion: ultrasound guided percutaneous nephrolithotomy has the advantages of accurate positioning, high success rate, real-time monitoring of puncture process, high safety and high stone clearance rate.