| 经皮肾镜联合碎石清石系统治疗肾输尿管结石合并脓肾的体会 |
| 投稿时间：2014-11-29 修订日期：2015-01-09 点此下载全文 |
| 引用本文：余强.经皮肾镜联合碎石清石系统治疗肾输尿管结石合并脓肾的体会[J].医学研究杂志,2015,44(9):75-77 |
| DOI：
10.11969/j.issn.1673-548X.2015.09.020 |
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| 基金项目:浙江省自然科学基金资助项目(Y2100296) |
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| 中文摘要:目的 探讨经皮肾镜联合碎石清石系统治疗肾输尿管结石并脓肾的临床疗效,并总结治疗经验。 方法 选取2012年1月~2014年1月笔者医院收治的31例肾输尿管结石合并脓肾患者,所有患者均经一期标准通道经皮肾镜碎石取石术(percutaneous nephrostolithotomy,PCNL)治疗,并对其临床资料进行回顾性分析。 结果 术后血尿1例(3.23%),术后肾周围性血肿2例(6.45%),术后发热5例(16.13%),感染性休克2例(6.45%),并发症发生率为32.26%;手术相关血红蛋白的下降幅度为8.57±2.63g/L,术后白细胞计数为(9.82±1.37)×109/L,术中均未出现严重出血或感染,手术均顺利完成。 结论 在使用一期标准通道PCNL治疗肾输尿管结石并脓肾时,需联合使用EMS碎石清石系统,并注意对常见并发症的预防,以确保手术疗效良好。 |
| 中文关键词:经皮肾镜 碎石清石 肾输尿管结石并脓肾 疗效 |
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| Experience Combined Percutaneous Nephrolithotomy Stone Rubble Clearing System for the Treatment of Renal and Ureteral Calculi Merger of Pus |
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| Abstract:Objective To evaluate the percutaneous endoscopic lithotripsy kidney stone clearance system for the treatment of renal and ureteral calculi renal abscess clinical efficacy and summarize treatment experience. Methods Selected 31 cases of ureteral stone and pus kidney patients who were treated in our hospital between January 2012 to January 2014,allpatients, all patients were confirmed by a standard channel percutaneous nephrolithotomy lithotripsy (Percutaneous Nephrostolithotomy, PCNL) treatment, and retrospectively analyzed the clinical data. Results One case is postoperativehemauria(3.23%), 2 cases is postoperative renal peripheral hematoma(6.45%), 5 cases postoperative(16.13%),2 cases septic shock (6.45%),the total complication rate is 32.26%; surgery related to hemoglobin decrease of 8.57±2.63g/L, postoperative leukocyte count (9.82±1.37)×109/L, no serious intraoperative bleeding or infection, surgery was successfully completed. Conclusion When using a channel of standard PCNL treatment of renal and ureteral calculi renal abscess, require the joint use EMS gravel stone clearance system, and pay attention to the prevention of common complications, to ensure a good surgery. |
| keywords:Percutaneous nephroscope Gravel stone Kidney ureteral calculi and pus kidney Curative effect |
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