| 经皮肾镜下3种能量方式碎石术的比较 |
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| 引用本文： | 尹志康,吴小候,唐伟,陈刚. 经皮肾镜下3种能量方式碎石术的比较[J]. 重庆医学, 2009, 38(17) |
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| 作者姓名： | 尹志康 吴小候 唐伟 陈刚 |
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| 作者单位： | 重庆医科大学附属第一医院泌尿外科,400016;重庆医科大学附属第一医院泌尿外科,400016;重庆医科大学附属第一医院泌尿外科,400016;重庆医科大学附属第一医院泌尿外科,400016 |
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| 摘 要： | 目的 比较3种能量方式的经质肾镜碎石术(PCNL)治疗肾结石的有效性和安全性.方法 回顾性分析2006年1月至2008年3月在本院用气压弹道、气压弹道联合超声及钬激光3种能源方式进行了经皮肾镜碎石术的102例病历资料,比较3种方式碎石术的手术时间,结石清除率、术中术后并发症发生率.结果 气压弹道联合超声碎石术组手术时间较气压弹道和钬激光碎石组明显缩短;气压弹道联合超声碎石术组结石清除率最高(92.8%),钬激光碎石组其次(74.4%),气压弹道组最低(51.4%),3个组两两间比较差异有统计学意义;3个组的术中和术后并发症率比较差异无统计学意义.结论 超声气压碎石的PCNL手术时间短,结石清除率高,有较高的有效性和安全性,钬激光碎石也较弹道碎石的PCNL提高了结石清除率.
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| 关 键 词： | 肾脏结石 经皮肾镜碎石术 |
Comparison of 3 kinds of percutaneous nephrolithotripsy with different power mode |
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| YIN Zhi-kang,WU Xiao-hou,TANG Wei,et al.. Comparison of 3 kinds of percutaneous nephrolithotripsy with different power mode[J]. Chongqing Medical Journal, 2009, 38(17) |
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| Authors: | YIN Zhi-kang WU Xiao-hou TANG Wei et al. |
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| Affiliation: | YIN Zhi-kang,WU Xiao-hou,TANG Wei,et al.(Department of Urology,First Affiliated Hospital,Chongqing Medical University,Chongqing 400016,China) |
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| Abstract: | Objective To compare the efficacy and safety of 3 kinds of percutaneous nephrolithotripsy(PCNL) with different power mode.Methods The clinical data of 102 inpatients treated with PCNL during January 2006 and March 2008 were retrospectively analyzed,and the operative duration and stone-free rate and complications among 3 kinds of PCNL with pneumatic ballistic power and combined pneumatic and ultrasound power and holmium laser power separately were compared.Results The operative duration in combined pneumatic... |
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| Keywords: | renal calculi percutaneous nephrolithotripsy |
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