| 微创经皮肾穿刺碎石取石术治疗肾结石32例 |
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| 引用本文： | 邵明峰,陈久发,邹建安,刘明,华和元,徐久平,张广峰,张崇科.微创经皮肾穿刺碎石取石术治疗肾结石32例[J].安徽医学,2009,30(7):743-745. |
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| 作者姓名： | 邵明峰 陈久发 邹建安 刘明 华和元 徐久平 张广峰 张崇科 |
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| 作者单位： | 安徽中医学院第一附属医院泌尿外科,合肥,230031;安徽中医学院第一附属医院泌尿外科,合肥,230031;安徽中医学院第一附属医院泌尿外科,合肥,230031;安徽中医学院第一附属医院泌尿外科,合肥,230031;安徽中医学院第一附属医院泌尿外科,合肥,230031;安徽中医学院第一附属医院泌尿外科,合肥,230031;安徽中医学院第一附属医院泌尿外科,合肥,230031;安徽中医学院第一附属医院泌尿外科,合肥,230031 |
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| 摘 要： | 目的探讨微创经皮肾穿刺碎石取石术（MPCNL）治疗肾结石的经验和疗效。方法回顾分析32例肾结石采用MPCNL治疗的临床资料。结果26例一次取尽结石，成功率81．3％，6例有结石残留，行ESWL治疗或再次行MPCNL治愈。手术时间平均1．6小时，术后2例发热高于38．5℃，应用抗生素后愈，无需要输血病例。住院时问平均6天，随访半年，无肾功能不全病例出现，17例肾积水均有不同程度减轻。结论MPCNL具有创伤轻微，疗效可靠等优点，值得推广应用。
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| 关 键 词： | 肾结石 微创经皮肾穿刺取石术 |
Treatment of renal calculus with minimally invasive percutaneous nephrolithotomy in 32 patients |
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| Institution: | Shao Mingfeng, Chen Jiufa, Zou Jian＇an, et al(Department of Urology, the 1st Affiliated Hospital of Anhui College of Traditional Chinese Medicine,Hefei 230031) |
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| Abstract: | Objective To evaluate the experience and efficiency of minimally invasive percutaneous nephrolithotomy in treating re-nal calculus. Methods Clinical data of 32 cases with renal calculus with minimally invasive percutaneous nephrolithotomy were reviewed.Results The stones were cleared off at one section in 26 cases (81.3%). 6 patients ( 18.7% ) with residual stones after operation were cured by ESWL or by minimally invasive percutaneous nephrolithotomy. Average operative time was I. 6 hours. Two patients with fever(38.5℃ ) after operation were cured by antibiotics and no patient needed blood transfusion. The mean hospitalization was 6 days. All cases were followed up in 6 months, no one appeared renal failure and the hydronephrosis in 17 eases alleviated after the operation. Conclusion Percutaneous nephrolithotomy is a less invasion, effective technique in treating renal caluculi and it is worth generalizing. |
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| Keywords: | Renal calculi Minimally invasive percutaneous nephrolithotomy |
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