中国内镜杂志2012，Vol.18Issue(8)：855-857,3.
经皮肾镜下双频双导管碎石系统治疗肾脏铸型感染性结石
Percutaneous nephroscopic dual probe ultrasonic intracorporeal lithotriptor in renal infectious stones
李天 1李逊 1何永忠 1谢清灵 1赖德辉 1杨炜青 1徐巍 1殷羽飞 1徐桂彬1
作者信息
- 1. 广州医学院第五附属医院泌尿外科,广东广州510700
- 折叠
摘要
Abstract
[ Objective ] To investigate the safety and efficacy of percutaneous nephroscopic dual probe ultrasonic intracorporeal lithotriptor in renal infectious stones. [Methods] We retrospectively reviewed the clinical data of 42 patients (53 cases) with renal infectious stones treated by percutaneous nephroscopic dual probe ultrasonic intracorporeal lithotriptor from July 2009 to June 2010. 18 cases were in the left side, and 24 cases were in the right side. The mean size of stones was 4.3 cm x 3.5 cm, ranged from 1.8 cm × 3.0 cm to 5.5 cm × 4.5 cm. [Results] 28 cases were performed by one tunnel way, 13 cases by double tunnel in one stage, and 12 cases by double tunnel in second stage. The mean operating time, blood loss and hospital stay were 67 min, 70 mL and 11 d, respectively. The stone clearance rate calculated by KUB after operation was 90.5%, and rose to 95.2% after operation combined with ESWL in 3 months. Postoperative fever happened in 18 cases, blood transfusion in 5 cases, postoperative high fever in 4 cases, pneumothorax in 1 case, renal pseudoaneurysm in 1 case, all of which were cured. [Conclusions] The dual probe ultrasonic intracorporeal lithotriptor device is a safe and efficient tool, which might show special advantages of increasing the stone-free rate, reducing the operative time, cutting down renal intrapelvic pressure, decreasing the incidence of complication related to absorption of bacteriotoxin and extravasation of irrigation fluid, contribute to operation safety.
关键词
经皮肾镜/感染性肾结石/碎石术Key words
percutaneous nephrolithotomy/ renal infectious stones/ lithotripsy分类
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李天,李逊,何永忠,谢清灵,赖德辉,杨炜青,徐巍,殷羽飞,徐桂彬..经皮肾镜下双频双导管碎石系统治疗肾脏铸型感染性结石[J].中国内镜杂志,2012,18(8):855-857,3.
