| 郑浩侯建全△ 魏雪栋张江磊袁和兴.彩色多普勒超声引导下经皮肾镜取石术（PCNL）治疗复杂性肾结石的临
床分析[J].,2014,14(2):313-315 |
| 彩色多普勒超声引导下经皮肾镜取石术（PCNL）治疗复杂性肾结石的临
床分析 |
| The Effect of Percutaneous nephrolithotomy in the Treatment of ComplicatedRenal Calculi under Color Doppler Ultrasound Guidance |
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| DOI： |
| 中文关键词: 复杂肾结石 彩色多普勒引导 经皮肾镜取石术 临床疗效 |
| 英文关键词: Complex renal calculus Color dopplar ultrasonic Percutaneous nephrolithotomy Clinical efficacy |
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| 中文摘要: |
| 摘要目的：总结彩色多普勒超声引导下经皮肾镜取石术（percutaneous nephrolithotomy，PCNL) 治疗的复杂性肾结石的经验及其
安全性、有效性以及常见并发症。方法：回顾性分析我院2011 年7 月～2012 年8 月采用彩色多普勒引导下经皮肾镜治疗复杂性
肾结石患者56 例的临床资料。结果：所有患者均I期建立经皮肾通道，平均手术时间(107.5± 27.5)分钟，24 例行EMS 气压弹道联
合超声碎石(101.0± 27.9)分钟，20 例行钬激光联合超声碎石(119.4± 23.6)分钟，10 例行单纯超声碎石(108.2± 30.2)分钟，EMS 气
压弹道联合超声碎石组的手术时间少于钬激光碎石组，差异有统计学意义（P<0.05，单纯超声碎石组与另外两组比较无统计学意
义P>0.05)。术前肾功能损伤患者术后随访，肾功能明显改善。结石完全清除率91%，结石部分残留率9%。术中均无严重出血，无
周边脏器损伤。术后出现迟发出血5 例，反复发热4 例，均经对症治疗后缓解。结论：彩色多普勒超声引导除了具有普通超声引导
的优势外，还可有效避开肾实质大血管损伤，减少术中及术后出血风险。彩色多普勒超声引导下经皮肾镜碎石取石术是一种治疗
复杂性肾结石安全、有效的方法。 |
| 英文摘要: |
| ABSTRACT Objective：To summarize the treatment experience of color Doppler ultrasound-guided percutaneous nephrolithotomy
(PCNL), and investigate the safety and efficacy and common complication of the surgery. Methods：A retrospective analysis of 56
complex renal calculi cases`s clinical data in our hospital from July 2011 -2012 August which were treated by color Doppler guided
percutaneous nephrolithotomy were made. Results：The procedures of percutaneous nephrolithotomy in 56 cases were performed in 1
stage. The average operation time was (107.5 ± 27.5) minutes, 24 patients were performed ultrasonic lithotripsy combined with
pneumatic lithotripsy; 20 patients were performed holmium laser and ultrasound, and 10 patients were performed ultrasonic lithotripsy.
The operation time of ultrasonic lithotripsy combined with pneumatic lithotripsy groups was(101.0± 27.9) min, which is significant lower
than holmium laser and ultrasound group(119.4± 23.6) min. Stones depletion rate is 91%, No other organ injury and severe blood loss in
surgery. 4 cases have severe infection and 5 cases have delayed bleeding after surgery. Conclusion：Percutaneous nephrolithotomy under
the guide of color dopplar ultrasound was a safe and effective method to treat complex kidney calculus, it could also effectively avoid
renal Macrovascular injury, and reduce the risk of bleeding. |
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