| 陈文彬 刘飞△ 崔书平 曾博文 王军浩 殷克卿 张峰 韩建鹏.微创经皮肾镜钬激光联合气压弹道碎石术治疗马蹄肾结石[J].现代生物医学进展英文版,2014,14(36):7137-7139. |
| 微创经皮肾镜钬激光联合气压弹道碎石术治疗马蹄肾结石 |
| Treatment of Calculi within Horseshoe Kidneys with Minimally InvasivePereutaneous Nephrolithotomy |
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| DOI： |
| 中文关键词: 微创经皮肾镜 钬激光 马蹄肾 肾结石 |
| 英文关键词: Minimally invasive pereutaneous nephrolithotomy Holmiumlaser Horseshoe kidney Calculi Chinese Library |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨微创经皮肾镜钬激光联合气压弹道碎石术治疗马蹄肾结石的可行性与效果，以期指导临床诊治。方法：回顾性分
析在2010 年8 月~2013 年8 月期间接受微创经皮肾镜钬激光联合气压弹道碎石术治疗的12 例马蹄肾结石患者的疗效及并发
症。结果：在12 例患者中，一期结石清除率为83.3%(10/12)，2 例需要二期取石。单通道取石11 例，双通道取石1 例。1 例患者为
上盏通道，其余患者均为中盏通道。平均手术时间105 min，术中平均出血量50 mL，平均住院天数14d。未出现严重并发症，无患
者需要输血。结论：微创经皮肾镜钬激光联合气压弹道碎石术是治疗马蹄肾结石的安全、有效的方法，具有损伤小、出血少、恢复
快等优点。 |
| 英文摘要: |
| Objective:To evaluate the clinical indications and efficacy of minimally invasive pereutaneous nephrolithotomy
(pneumatic lithotripsy and Hohnium: YAG laser lithotripsy) in treating calculi within horseshoe kidneys and guide the clinical diagnosis
and treatment.Methods:We retrospectively reviewed the outcome and complications of 12 patients received minimally invasive
pereutaneous nephrolithotomy (MPCNL) in our center from August 2010 to August 2013. FromAugust 2010 to August 2013, a total of
12 patients received minimally invasive pereutaneous nephrolithotomy (MPCNL) in our center.Results:Of the 12 cases，83.3％ (10/12)
were rendered stone free at 1 session. A second-look was needed in 2 cases. 11 cases were managed with a single tract, 2 tracts in one
case．Renal access was obtained through an upper calyx in 1 case, a middle calyx in 11. Average operative time was 105 munites，blood
loss volume was 50 mL, and the average hospitalization stay was 14 days. No major complications were noted and no blood transfusions
were needed in all cases.Conclusion:Minimally invasive percutaneous nephrolithotomy (pneumatic lithotripsy and Hohnium: YAG
laser lithotripsy) is safe and effective in treating calculi within horseshoe kidney, with a mini-invasion, less blood loss, and a short
convalescence period. |
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