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时间:2020-04-17
《标准通道经皮肾镜联合输尿管软镜同期、分期治疗复杂性肾结石临床分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、中国现代医药杂志2014年7月第l6卷第7期MMJC,Jul2014,V0l16,No.7·25·标准通道经皮肾镜联合输尿管软镜同期、分期治疗复杂性肾结石临床分析范先明郭昭建林剑锋王世先涂建平叶振扬郑健忠梁福律【摘要】目的探讨标准通道经皮肾镜联合输尿管软镜同期、分期治疗复杂性肾结石的可行性与临床疗效。方法回顾分析我院2011年1月~2013年12月收治46例复杂性肾结石患者的临床资料:完全性铸型结石、鹿角形结石27例。不完全性、多发结石19例。结石直径2.6—4。5cm。34例有肾集合系统分离,分离程度1.5~6.5cm。5例曾行肾、输尿管开放手术
2、取石术,术后结石复发。采用标准通道经皮肾镜联合输尿管软镜同期、分期碎石取石进行治疗。结果本组46例患者均成功建立标准通道并一期碎石取石。同期手术33例,分期手术13例,其中术中因出血,患者年龄较大,结石较大、较硬,肾镜下碎石时间较长,输尿管狭窄等原因,术中决定更改分期手术7例。本组结石清除率91.3%(42/46),均未出现大出血、邻近脏器损伤、术后严重感染等并发症。结论标准通道经皮肾镜联合输尿管软镜同期、分期治疗复杂性肾结石。临床效果较好、手术创伤较小、术后恢复好,是一种安全、有效的方法。【关键词】标准经皮肾镜输尿管软镜复杂性结石Theclini
3、calanalysisofcomplicatedkidneystonetreated、)Irithstandardchannelpercutaneousnephroscopejointedflexi-bleureteroscopeatthesameperiodoperationandstagingoperationFanXianming,GuoZhaojian,LinJianfeng,eta1.TheThirdHospitalofXiamen,AffiliatedHospitalofF~jianUniversityofTraditionalChin
4、eseMedicine,Xiamen361100【Abstract】ObjectiveToexplorethefeasibilityandclinicaleficacyofkidneystonespatientstreatedwithstandardchannelpereutaneousnephroscopejointedflexibleureteroscopeatthesameperiodoperationandstagingoperation.MethodsRetrospectivelyanalyzedtheclinicaldataof46pa
5、tientswithcomplicatedkidneystonefromJan2011toDec2013.27caseshadcompletecastorstaghorncalculistones,19caseshadincompleteormultiplestones,thediameterofstonewas2.6~4.5cm.34caseshadrenalcollectingsystemseparation,theseparationdegreewasI.5-6.5cm.5caseshadeverhadrenalandureterstonee
6、xtractionforopensurgery,postoperativerecurrenceofstones.Withastandardchannelpercutaneousnephroscopejointedflexi-bleureteroscopeatthesalneperiodoperationandstagingoperation,installmentofgravellithotomyfortreatment.Results46patientsofthisgroupweresuccessfullyestablishedstandardc
7、hannelandissueofrubblestone.13easestookstagingoperationand33casestookthesameperiodoperationduringthisperiod,7caseschangedtotakestagingoperationbecauseofintraopera-tivebleeding,age,thesizeandhardnessofthestone,thelongtimeofnephroscopelithotripsy,ureteralstricture.Thestonecleara
8、nceratewas91_3%(42/46),nobleeding,noadjacentviscerainjury,nop
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