| 微创经皮肾穿刺肾镜结合胆道镜取石术治疗复杂性上尿路结石 |
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| 引用本文： | 曹文锋,王亮,庞勇,杨航,陈卫国,刘祥丹,李沙丹.微创经皮肾穿刺肾镜结合胆道镜取石术治疗复杂性上尿路结石[J].中国内镜杂志,2011,17(9). |
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| 作者姓名： | 曹文锋 王亮 庞勇 杨航 陈卫国 刘祥丹 李沙丹 |
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| 作者单位： | 1. 成都军区总医院泌尿外科,四川成都,610083
2. 成都军区总医院腹部外科内镜室,四川成都,610083 |
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| 摘 要： | 目的 探讨超声引导微创经皮肾穿刺肾镜结合胆道镜取石术治疗复杂性上尿路结石的手术方法及效果.方法 采用微创经皮肾穿刺肾镜结合胆道镜取石术治疗复杂性上尿路结石患者15例,探讨手术方法评价治疗效果.结果 本组15例手术时间为45～180 min,平均105 min,一期结石清除9例,二期结石清除4例,结石总取尽率86.7％(13/15),1例于术后1个月辅以体外碎石治疗,结石排净；总的结石排净率为93.3％.无中转开放手术,无严重并发症.结论 微创经皮肾穿刺肾镜结合胆道镜取石术治疗上尿路结石具有安全有效、损伤小、结石清除率高等优点,可作为复杂性上尿路结石的治疗方法.
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| 关 键 词： | 超声 经皮肾穿刺取石术 上尿路结石 钬激光 胆道镜 |
Treatment of upper urinary calculi with minimally invasive percutaneous nephrolithotomy combined with choledochoscope under the guide of ultrasound |
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| CAO Wen-feng
,
WANG Liang
,
PANG Yong
,
YANG Hang
,
ChEN Wei-guo
,
LIU Xiang-dan
,
LI Sha-dan.Treatment of upper urinary calculi with minimally invasive percutaneous nephrolithotomy combined with choledochoscope under the guide of ultrasound[J].China Journal of Endoscopy,2011,17(9). |
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| Authors: | CAO Wen-feng WANG Liang PANG Yong YANG Hang ChEN Wei-guo LIU Xiang-dan LI Sha-dan |
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| Institution: | CAO Wen-feng1,WANG Liang1,PANG Yong2,WANG Qing-tang1,YANG Hang1,ChEN Wei-guo1,LIU Xiang-dan1,LI Sha-dan1(1.Department of Urology,Chengdu Command General Hospital,Chengdu,Sichuan 610083,P.R.China,2.Endoscopic Abdominal Surgery,General Hospital of Chengdu Military Region,P.R.China) |
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| Abstract: | Objective] To evaluate the feasibility and availability of minimal invasive percutaneous nephrolithotomy(MPCNL) combined with choledochoscope under the guide of ultrasound on multiple upper urinary calculi.Methods] 15 cases of upper urinary calculi including 9 males and 6 females were selected to be treated by MPCNL combined with choledochoscope using holmium laser.The procedures and availability were analyzed respectively.Results] Among 15 cases,the operative duration was 105 min(45-180 min).9 cases wer... |
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| Keywords: | ultrasound percutaneous nephrolithotomy holmium laser upper urinary calculi choledochoscope |
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