| 戴润林，龙永福，李乐山，王建峰.应用经皮肾镜气压弹道—超声碎石清石系统治疗复杂性肾结石.[J].中南医学科学杂志.,2011,39(3):310-311. |
| 应用经皮肾镜气压弹道—超声碎石清石系统治疗复杂性肾结石 |
| Clinical Evaluation of Combined Pneumatic and Ultrasound Lithotripsy for Complex Renal Calculi |
| 投稿时间：2010-10-20 |
| DOI： |
| 中文关键词: 肾结石 经皮肾镜 碎石 |
| 英文关键词:renal calculi percutaneous nephrolithotomy lithotripsy |
| 基金项目: |
|
| 摘要点击次数: 669 |
| 全文下载次数: 987 |
| 中文摘要: |
| 目的探讨经皮肾镜气压弹道—超声碎石清石系统治疗复杂性肾结石的安全性及疗效。方法采用经皮肾镜气压弹道—超声碎石清石系统治疗46例复杂性肾结石。结果Ⅰ期结石清除率82.6%（38/46），解除肾盂梗阻100%，手术时间40～95 min,平均72 min。Ⅱ期手术结石清除率62.5%（5/8）,3例残余肾结石予ESWL及药物排石治疗,2 例结石排净,结石总清除率97.8%。所有患者均无严重并发症。结论经皮肾镜气压弹道—超声碎石清石系统具有高效、安全的特点，是治疗复杂性肾结石的理想选择。 |
| 英文摘要: |
| ObjectiveTo evaluate the safety and clinical efficacy of combined pneumatic and ultrasound lithotripsy for complex renal calculi with simultaneous percutaneous nephrolithotomy.Methods46 cases with complex renal calculi underwent simultaneous percutaneous nephrolithotomy (PCNL) by ultrasonic power of Swiss Lithoclast Master(EMSⅣ.Switzerland) with positioning perspective of B-ultrasonography.ResultsAll the operations were successful and no case had severe complications during surgery with the postoperative follow-up for 1～3 months.The one-stage operation curative rate was 82.6%(38/46).The operative time was 40～75 min,and average time consumption was 58 minutes for the operation.The two-stage operation curative rate was 62.5%（5/8）.Three patients accepted extracorporeal shock wave lithotripay and drug treatment.The overall stone-clearance rate was 97.8%.ConclusionPercutaneous nephrolithotomy with EMSⅣ for complex renal calculi is recommended for the safety high efficiency and minimal invasion in performance. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |