郑州大学学报（医学版）2012，Vol.47Issue(1)：118-120,3.DOI:10.3969/j.issn.1671-6825.2012.01.039
超声引导经皮肾镜气压弹道联合超声碎石治疗马蹄肾结石的效果
Efficacy of percutaneous nephrolithotomy with pneumatic and ultrasonic lithotripsy guided by ultrasound for horseshoe kidney with calculi
梁宏 1魏金星 1文建国 1李春伟 1程传宇 2武玉东1
作者信息
- 1. 郑州大学第一附属医院泌尿外科,郑州,450052
- 2. 奥尔胡斯临床医学院,奥尔胡斯,8200
- 折叠
摘要
Abstract
To investigate the feasibility of percutaneous nephrolithotomy( PCNL ) with pneumatic and ultrasonic lithotripsy under ultrasound guidance for horseshoe kidney with calculi. Methods: Clinical data of 46 cases of horseshoe kidney with calculi treated by PCNL with pneumatic and ultrasonic lithotripsy under ultrasound guidance were retrospectively analyzed. Results: The 46 cases were successfully established artificial calculus-extracting passage with one-stage operation. The average hospitalization time was 5.0 - 17.0(6. 9 ± 1. 8 ) days, operation time was 46 ~ 12l( 75 ±24 ) min, calculi processing time was 31 ~ 68( 49 ± 17 ) min, and the average blood loss was 28~92(60±3l) mL. All patients did not transfuse blood; calculi-free rate was 82. 6%( 38/46 ) with one-stage operation, and that was 91. 3%( 42/46 ) with two-stage operation. Two cases accepted postoperative adjuvant extracoporeal shock wave lithotripsy, and total calculi clearance rate reached 95.7% ( 44/46 ). There was no associated complication. Conclusion:PCNL with pneumatic and ultrasonic lithotripsy under ultrasound guidance is safe and reliable for horseshoe kidney with calculi.关键词
马蹄肾结石/经皮肾镜取石术/气压弹道碎石术/超声碎石术Key words
horseshoe kidney with calculi/percutaneous nephrolithotomy/pneumatic lithotripsy/ultrasonic lithotripsy分类
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梁宏,魏金星,文建国,李春伟,程传宇,武玉东..超声引导经皮肾镜气压弹道联合超声碎石治疗马蹄肾结石的效果[J].郑州大学学报（医学版）,2012,47(1):118-120,3.
