| 经皮肾镜碎石术治疗肾结石两种碎石方式的疗效与安全性 |
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| 引用本文： | 张栩亮,权伟合,李虎宜,梁志恒,刘毅,刘卫华,高梦,魏涧.经皮肾镜碎石术治疗肾结石两种碎石方式的疗效与安全性[J].职业与健康,2011,27(22):2653-2655. |
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| 作者姓名： | 张栩亮 权伟合 李虎宜 梁志恒 刘毅 刘卫华 高梦 魏涧 |
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| 作者单位： | 湖北医药学院附属东风医院泌尿外科,湖北省十堰市,442008 |
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| 摘 要： | 目的比较采用气压弹道联合超声碎石术与单纯气压弹道碎石术治疗肾结石的疗效及安全性。方法回顾性分析湖北医药学院附属东风医院2005年5月—2011年2月期间148例行经皮肾镜碎石术患者,按碎石方式分为单纯气压弹道碎石组（A组）和联合超声碎石气压弹道碎石组（B组）,分析并比较患者结石的大小、位置、手术时间、住院天数、术后感染、出血等并发症、PCNL平均次数、一期结石清除率及总清除率。结果两组间结石大小、位置、PCNL平均次数、一期及总体结石清除率无明显差异（P〉0.05）;而B组手术时间,住院天数以及术后血红蛋白损失均明显低于A组（P〈0.05）。所有患者均未出现气胸,胸腔积液等穿刺相关并发症,患者术后均无明显感染。结论联合超声及气压弹道碎石术能有效减少手术时间、住院天数和术后出血。较单纯气压弹道碎石术治疗效果更佳及更安全。
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| 关 键 词： | 碎石术 经皮肾镜碎石 气压弹道碎石术 超声碎石术 |
Efficacy and Safety of Two Lithotripsy Approaches of Percutaneous Nephrolithotomy for Renal Calculi |
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| ZHANG Xu-liang,QUAN Wei-he,LI Hu-yi,LIANG Zhi-heng,LIU Yi,LIU Wei-hua,GAO Meng,WEI Jian.Efficacy and Safety of Two Lithotripsy Approaches of Percutaneous Nephrolithotomy for Renal Calculi[J].Occupation and Health,2011,27(22):2653-2655. |
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| Authors: | ZHANG Xu-liang QUAN Wei-he LI Hu-yi LIANG Zhi-heng LIU Yi LIU Wei-hua GAO Meng WEI Jian |
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| Institution: | ZHANG Xu-liang,QUAN Wei-he,LI Hu-yi,LIANG Zhi-heng,LIU Yi,LIU Wei-hua,GAO Meng,WEI Jian(Department of Urinary Surgery,Dongfeng Hospital Affiliated to Hubei University of Medicine,Shiyan,Hubei,442008,China) |
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| Abstract: | Objective]To compare the efficacy and safety between the pneumatic lithotripsy combined with ultrasonic lithotripsy and pneumatic lithotripsy alone for renal calculi. Methods]148 patients who were given percutaneous nephrolithotomy(PCNL) in Dongfeng Hospital Affiliated to Hubei University of Medicine from May 2005 to February 2011 were analyzed retrospectively,and they were divided into pneumatic lithotripsy alone(group A) and pneumatic lithotripsy combined with ultrasonic lithotripsy(group B).The stone s... |
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| Keywords: | Lithotripsy Percutaneous nephrolithotomy(PCNL) Pneumatic lithotripsy |
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