中国医科大学学报2011，Vol.40Issue(9)：861-863,3.DOI:CNKI:21-1227/R.20110926.1208.028
超声引导下标准通道经皮肾镜碎石术治疗上尿路结石的经验总结:207例报告
Standard Percutaneous Nephrolithotripsy with Pneumatic and Ultrasonic Power Under B-type Ultrasound Guidance for Treatment of Calculus in Upper Urinary: Report of 207 Cases
李炳勋 1陈雪磊 1孙嘉伟 1毕建斌 1孔垂泽1
作者信息
- 1. 中国医科大学附属第一医院泌尿外科,沈阳110001
- 折叠
摘要
Abstract
Objective To present the clinic efficacy and our experience with PCNL using pneumatic and ultrasonic power under B-type ultrasound guidance in the treatment of calculus in upper urinary. Methods We summarized the clinical data of 207 cases treated by standard PCNL from December 2007 to November 2009.The indications for PCNL were renal stones in 141 cases,renal stones with ureteral stones in 25 cases, ureteral stones in 28 cases, multiple calculus in 180 cases, emplasb'c calculus in 68 cases. The maximum of stone burden was 30.21 cm3. Operations were performed by EMS III IithoClast Master. Results The punctures were completed successfully in all cases, 188 of 207 cases were performed in one-session, 19 cases were performed successfully in two-session.The mean operation time was 90 (50 to 130)minutes,the mean hospital stay was 6 days. The stone-free rate was 92%. Major complications were seen in 71 PCNL procedures which was included in significant hematuria requiring blood transfusion in 34 cases,fever in 37 cases. Conclusion Standard PCNL with pneumatic and ultrasonic power under B-type ultrasound guidance was a safe and effective procedure in treatment of calculus in upper urinary.关键词
肾结石/输尿管结石/经皮肾镜碎石术Key words
renal calculi/ureteral calculi/percutaneous nephrolithotripsy分类
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李炳勋,陈雪磊,孙嘉伟,毕建斌,孔垂泽..超声引导下标准通道经皮肾镜碎石术治疗上尿路结石的经验总结:207例报告[J].中国医科大学学报,2011,40(9):861-863,3.
