论文部分内容阅读
目的探讨微创经皮肾输尿管镜气压弹道碎石治疗肾脏与输尿管上段结石的方法与疗效。方法采用微创经皮肾输尿管镜下气压弹道碎石上尿路结石45例。结果2004年6月~2006年3月,采用Ⅰ期、Ⅱ期或分步微创经皮肾输尿管镜手术成功处理45例上尿路结石,其中包括鹿角型结石、多发性肾结石、ESWL治疗失败、孤立肾结石、开放取石手术后复发、输尿管上段结石。肾结石清除率为91.7%,输尿管结石清除率为88.9%。随访2~12个月,无严重手术并发症发生。结论微创经皮肾输尿管镜气压弹道碎石术治疗上尿路结石具有微创损伤、恢复快、并发症少、安全高效、结石清除率高的优点。
Objective To investigate the method and effect of minimally invasive percutaneous nephroureteroscopic pneumatic lithotripsy in the treatment of upper ureter and upper ureteral calculi. Methods Minimally invasive percutaneous nephrolithotomy pneumatic lithotripsy 45 cases of upper urinary tract stones. Results From June 2004 to March 2006, 45 cases of upper urinary tract stones were successfully treated with stage I, stage II or step-by-step minimally invasive percutaneous nephrolithotomy, including antler-type stones, multiple nephrolithiasis and ESWL treatment Failure, isolated kidney stones, open surgery after the recurrence of stones, upper ureteral stones. Kidney stone clearance rate was 91.7%, ureteral stone clearance rate was 88.9%. Follow-up 2 to 12 months, no serious complications occurred. Conclusion Minimally invasive percutaneous nephroureteroscopic pneumatic lithotripsy for upper urinary tract calculi has the advantages of minimally invasive injury, rapid recovery, fewer complications, safety and efficiency, and high stone clearance rate.