【摘要】 探讨治疗输尿管上段结石的理想方法。方法 回顾性分析328例输尿管上段结石采用经皮肾穿刺取石(PCN-L)的临床资料。结果 328例中300例一期取净结石,28例二期取净结石。结论 经皮肾穿刺取石创伤小、恢复快,结石取净率高,可同时处理肾盏结石,是治疗输尿管上段结石的理想方法。
【关键词】 输尿管结石 经皮肾穿刺取石术 气压弹道碎石
Treatment on proximal ureteral calculi with percutaneous nephrolithotomy
WANG Yong-fu,DING Ping.Department of Surgery,China Nuclear 404 Hospital,Jiayuguan 732850,China
[Abstract] Objective To discuss ideal operative manier for treatment of proximal ureteral calculi.Methods Clinical data of 328 patients with ureteral calculi with percutaneous nephrolithotomy were analyzed retrospectively.Results 300 patients were rendered stone-free at 1st session,but 28 patients at 2nd session.Conclusion Percutaneous nephrolithotomy is less invasive,completely renders stone-free and may treat renal calices calculi at the same time,moreover,patients quickly recover,which is ideal operative manier for proximal ureteral calculi.
[Key words] proximal ureteral calculi;percutaneous nephrolithotomy;pneumatic lithotripsy
流行病学调查显示,近年来随着生活水平的提高、饮食结构的改变,肾结石的发病率正呈不断上升的趋势。近10余年来,随着输尿管镜技术的日臻成熟,已成为上尿路结石的主要治疗手段,逐步取代了传统的开放手术。笔者于2006年6~9月在南华……
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