| 周逢海 吕海迪 郭秀全 王养民 李晓云 郑英 方玉军.微创经皮肾镜碎石取石术治疗特殊肾结石的临床疗效观察[J].,2014,14(9):1686-1688 |
| 微创经皮肾镜碎石取石术治疗特殊肾结石的临床疗效观察 |
| The Efficacy and Safety of Percutaneous Nephrolithotomy in the Treatmentof Special Types of Renal Calculi |
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| DOI： |
| 中文关键词: 经皮肾镜碎石清石术 鹿角形肾结石 多发肾结石 |
| 英文关键词: Percutaneous nephrolithotomy Staghorn calculi Multiple renal calculi |
| 基金项目:兰州市科技计划发展项目（11-1-22） |
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| 中文摘要: |
| 目的：研究微创经皮肾镜碎石取石术治疗特殊鹿角型或多发肾结石中的临床疗效和安全性。方法：回顾性分析2007 年1月
-2013 年3 月我院收治的37 例采用微创经皮肾镜碎石取石术(PCNL)手术方式治疗的特殊鹿角形或多发肾结石患者的临床资料。
结果：37 例患者中，孤立肾9 例、马蹄肾7 例、海绵肾和多囊肾7 例、儿童患者14 例。成人结石直径(3.2± 0.3)cm，儿童结石直径
(2.2± 0.2)cm。37 例患者均一期单通道情况下顺利完成手术，单次手术成功率100%，结石清除率91.2%(34/37)，平均手术时间
(94± 21.6)min，平均出血量(62± 12.3)mL，术后1 月复查B 超提示肾脏积水减轻，肾脏功能血肌酐较术前降低，术后一月复查
KUB提示3例肾脏下盏少量残留结石，4例患者出现术后低热症状。结论：采用PCNL治疗特殊鹿角形或多发肾结石的安全性好、
结石清除率高、并发症较少。 |
| 英文摘要: |
| Objective:To study the efficacy and safety of percutaneous nephrolithotomy in the treatment of special types of renal
calculi(solitary kidney, horseshoe kidney, medullary sponge kidney, polycystic kidney and inpatient children) with staghorn and multiple
kidney stones.Methods:The clinical data of thirty seven patients with special types of renal calculi treated by PCNL were summaried and
analyzed.Results:The number of solitary kidney, horseshoe kidney, medullary sponge kidney, polycystic kidney and in patient children
were 9, 7, 7 and 14 respectively. The mean diameter of stone was (3.2± 0.3)cm in adults, and (2.2± 0.2)cm in children. Thirty seven
patients all stabbed successfully in one time, stone free rate was 91.2%(34/37), the average operation time was (94± 21.6)min, average
intraoperative blood loss was (62± 12.3)mL, ultrasound check suggested that kidney seeper and renal function were better than those preoperative.
KUB check suggested that three paitents still had small stone at subrenal calyx.Conclusion:Percutaneous nephrolithotomy
(PCNL) was safe and effective in the treatment of special types of renal calculi. |
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