| 微创经皮肾镜取石术治疗肾脏铸型感染性结石 |
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| 引用本文： | 刘永达,袁坚,曾国华,李逊. 微创经皮肾镜取石术治疗肾脏铸型感染性结石[J]. 临床和实验医学杂志, 2006, 5(8): 1103-1104 |
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| 作者姓名： | 刘永达 袁坚 曾国华 李逊 |
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| 作者单位： | 广州医学院附属第一医院泌尿外科,广东,广州,510230;广州医学院附属第一医院泌尿外科,广东,广州,510230;广州医学院附属第一医院泌尿外科,广东,广州,510230;广州医学院附属第一医院泌尿外科,广东,广州,510230 |
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| 基金项目： | 广州市卫生局立项资助项目,2006B37 |
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| 摘 要： | 肾脏感染性结石常呈铸型鹿角状,术后结石残留率及复发率较高,是泌尿外科的难题之一。自2003年1月至2005年3月,我们对66例肾脏铸形感染性结石采用微创经皮肾脏穿刺取石术(m in im ally invasive percutaneous nephrolithotomy,m in i-PCNL)治疗,效果满意。现报告如下。1资料与方
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| 关 键 词： | 肾结石 经皮肾穿刺取石术 碎石术 内窥镜术 |
| 收稿时间： | 2006-06-17 |
| 修稿时间： | 2006-06-17 |
Treatment of renal struvite staghorn calculi with minimally invasive percutaneous nephrolithotomy |
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| LIU Yong - da, YUAN Jian,ZENG Guo -hua,et al.. Treatment of renal struvite staghorn calculi with minimally invasive percutaneous nephrolithotomy[J]. Journal of Clinical and Experimental Medicine, 2006, 5(8): 1103-1104 |
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| Authors: | LIU Yong - da YUAN Jian ZENG Guo -hua et al. |
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| Affiliation: | Department of Urology , the First Affiliated Hospital of Guangzhou Medical College, Guangzhou Guangdong 510230 ,China. |
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| Abstract: | Objective To evaluate the efficacy and safty of minimally invasive percutaneous nephrolithotomy(mini-PCNL) for renal struvite staghorn calculi.Methods From 2003 to 2005 mini-PCNL was performed in 66 patient(71 cases) 23 to 58 years old(median age 41).The series consists of 19 boys and 47 girls.The mean stone area was 22.5 cm~2(7.5~43.9 cm~2).19 cases were treated via single channel,46 cases via bi-channnel,and 6 cases via tri-channel.Results Of the 71 cases,58(81.7%) underwent mini-PCNL were rendered stone-free.11 cases combined ESWL.Within 3 months,Stone-free was founded in 63 cases(88.7%),residual stones in 8 cases.Blood transfusion was performed in 3 cases.Fever was reported in 19 cases.Conclusion Mini-PCNL is a safe and effective procedure for treating renal struvite staghorn stone.The stone-free rate is elevated through multi-channel technology or conbination of ESWL. |
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| Keywords: | Kidney calculi Nephrostomy Percutaneous Lithotfipsy Endoscopy |
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