摘要
Abstract
Objective:To evaluate the clinical value of pneumatic lithotripsy combined with pyelolithotomy in treatment of complex re -nal calculi .Methods:14 cases of patients with kidney stones cut the complexity of the renal pelvis exposed stone , stone exposure , with Switzerland EMS pressure ballistic hammer apparatus , end through the handle is connected in air compressor , need not ureteroscopy , with gravel TanGan pointed directly at stone , start pressure pump , will shatter stone , the out of the renal pelvis or washed away .Results:14 patients successfully gravel succeed , operation time 100 ~180 min.Postoperative residual small stones in 8 cases, ESWL, postures row by stone, drug row stone, 6 cases of education, no secondary bleeding and urinary leak happened .Follow-up of 3 ~6 months, fourteen patients review urinary radiographs and vein urinary imaging , the original hydronephrosis obvious subsidise , creatinine unusual person were improved obviously improved .Conclusion:Pneumatic lithotripsy combined with pyelolithotomy in treatment of complex renal calculi could effectively treat complex renal calculi and minimize renal injury .关键词
气压弹道碎石/肾结石/肾盂切开取石术Key words
Pneumatic lithotripsy/Renal calculi/Pyelolithotomy分类
医药卫生
