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经皮肾穿刺微造瘘输尿管镜术治疗复杂肾结石(附17例报告)
引用本文:王司军,穆晓楠.经皮肾穿刺微造瘘输尿管镜术治疗复杂肾结石(附17例报告)[J].中国内镜杂志,2004,10(2):24-25,28.
作者姓名:王司军  穆晓楠
作者单位:1. 济南市中心医院泌尿外科,山东,济南,250013
2. 济南市中心医院腔镜外科,山东,济南,250013
摘    要:目的 寻求复杂肾结石的有效微创治疗方法。方法 采用经皮肾穿刺扩张后置入德国STORZ F16 TROCAR套管,建立微造瘘通道后同期经皮肾输尿管镜气压弹道碎石治疗17例肾结石合并肾盏多发鹅卵形结石。结果 一期一次取净10例,3~5d二次取净5例,其余2例二次取石后肾下极肾盏内仍有小块结石残留,经体外震波碎石后结石排空,17例病人平均住院8.8d,术中及术后未出现并发症。结论 该术式可进入大部分肾盏,具有创伤小、并发症少、取石效率高等特点。

关 键 词:经皮  内窥镜术  肾结石
文章编号:1007-1989(2004)02-0024-02

Percutaneous small tract puncture nephrostomy ureteroscopy in therapy of kidney calculi
WANG Si-jun ,MU Xiao-nan.Percutaneous small tract puncture nephrostomy ureteroscopy in therapy of kidney calculi[J].China Journal of Endoscopy,2004,10(2):24-25,28.
Authors:WANG Si-jun  MU Xiao-nan
Institution:WANG Si-jun 1,MU Xiao-nan 2
Abstract:Objective: To evaluate the effect of percutaneous small tract puncture nephrostomy ureteroscopy through the TROCAR as a treament for complex kidney calculi.Methods:Percutaneous small tract puncture nephrostomy followed by endo-ureteroscopic lithotripsy through the channel of the F16 trocar in the corresponding period was carried out in 17 cases of renal stone with multiple renal stones in the calyx .Results: The stones were cleared off at one section in 10 cases,two sections in 5 and other 2 cases were cured by ESWL after two sections,17cases had been in hospital for 8.8 days averagely without any complications.Conclusions:It is less invasive,effective and without any complications.
Keywords:percutaneous  endourology  kidney calculi
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