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肾结石术后复发伴肾盂输尿管连接部狭窄的微创治疗
引用本文:卢小刚,钟东亮,郭彬,单炽昌,李逊. 肾结石术后复发伴肾盂输尿管连接部狭窄的微创治疗[J]. 临床泌尿外科杂志, 2006, 21(6): 446-448
作者姓名:卢小刚  钟东亮  郭彬  单炽昌  李逊
作者单位:广州医学院第一附属医院海印分院微创外科中心泌尿外科,广州,510230;广州医学院第一附属医院海印分院微创外科中心泌尿外科,广州,510230;广州医学院第一附属医院海印分院微创外科中心泌尿外科,广州,510230;广州医学院第一附属医院海印分院微创外科中心泌尿外科,广州,510230;广州医学院第一附属医院海印分院微创外科中心泌尿外科,广州,510230
摘    要:目的:观察微创经皮肾取石术加狭窄电切开治疗肾结石术后复发伴肾盂输尿管连接部(UPJ)狭窄的效果。方法:对22例肾结石术后复发性肾结石伴UPJ狭窄患者采用微创经皮肾取石加狭窄电切开术。结果:15例1次完成手术,7例行1次以上手术。单通道治疗18例,双通道治疗4例。无大出血等严重并发症。结论:微创经皮肾取石加狭窄电切开术是一种治疗术后复发性肾结石伴UPJ狭窄的有效方法。

关 键 词:肾结石  肾盂输尿管连接部狭窄  经皮肾穿刺取石术
文章编号:1001-1420(2006)06-0446-03
收稿时间:2005-11-18
修稿时间:2005-11-18

The mini-invasive treatment of recurred renal calculi with ureteropelvic junction stricture after nephrolithotomy
LU Xiaogang,ZHONG Dongliang,GUO Bin,SHAN Chichang,LI Xun. The mini-invasive treatment of recurred renal calculi with ureteropelvic junction stricture after nephrolithotomy[J]. Journal of Clinical Urology, 2006, 21(6): 446-448
Authors:LU Xiaogang  ZHONG Dongliang  GUO Bin  SHAN Chichang  LI Xun
Affiliation:Department of Urology, Minimally Invasive Surgery Center, the First Affiliate Hospital of Guangzhou Medical College, Guangzhou, 510230, China
Abstract:Objective To investigate the feasibility of minimally invasive percutaneous nephrolithotomy(PCN) combined with eletrocision for treatment of recurred renal calculi with ureteropelvic junction(UPJ)stricture after nephrolithotomy.Methods:22 patients were treated by minimally invasive percutaneous nephrolithotomy nephro lithotomy combined with eletrocision.Results:15 cases were completed in one stage and 7cases were performed two stages or more.Single tract PCN was used in 18 cases,two tracts was used in 4 cases.No serious complica tion occurred.Conclusions:Minimally invasive pereutaneous nephrolithotomy combined with eletrocision is one of the effective methods for treatment of recurred renal calculi with UPJ stricture after nephrolithotomy.
Keywords:Renal calculi  Ureteropelvic junction stricture  Percutaneous nephrolithotomy
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