岭南现代临床外科2016，Vol.16Issue(5)：605-607,3.DOI:10.3969/j.issn.1009-976X.2016.05.024
B超引导下经皮肾镜碎石清石术治疗肾、输尿管上段结石的临床观察与并发症处理
Clinical observation and complication management of standard channel percutaneous nephrolithotripsy with pneumatic and ultrasonic power under B-type ultrasound guidance in management of renal and upper ureteral calculi
尤洪科 1董功航 1尹永华1
作者信息
- 1. 518104 广东深圳 广州医科大学附属深圳沙井医院泌尿外科
- 折叠
摘要
Abstract
Objective To evaluate the clinic efficacy and safety with PCNL under B-type ultrasound guidance in management of renal and upper ureteral calculi. Methods The clinical date of 175 cases treated by standard channel PCNL were analyzed retrospectively. Results The punctures were completed successfully in all cases , and 150 of 175 cases were performed in one-session , 25 cases were performed successfully in two-session. The mean operation time was 130 (80 to 180) mins, and the mean hospital stay was eight days. The stone-free rate was 91%. Postoperative complications were seen in 23 PCNL, included postoperative bleeding in 6(1 case needed transfusion during and after operation), fever in five, malignant hypertension in one, hemopneumothorax in four, urinary injury in two, perfusion fluid extravasation in five. Conclusion Standard channel PCNL with pneumatic and ultrasonic power under B-type ultrasound guidance is a safe and effective procedure in management of renal and upper ureteral calculi.关键词
标准通道/经皮肾镜/气压弹道联合超声/肾结石/输尿管结石Key words
Standard channel/Percutaneous nephrolithotomy/Pneumatic combined with ultrasonic lithotripsy/Renal calculi/Ureteral calculi分类
医药卫生引用本文复制引用
尤洪科,董功航,尹永华..B超引导下经皮肾镜碎石清石术治疗肾、输尿管上段结石的临床观察与并发症处理[J].岭南现代临床外科,2016,16(5):605-607,3.
