【摘要】：目的探討斜仰臥位經(jīng)皮腎鏡鈥激光治療上尿路結(jié)石的優(yōu)點及療效。方法從2014年6月至2016年6月應(yīng)用斜仰臥位經(jīng)皮腎鏡鈥激光治療上尿路結(jié)石30例,其中,男性18例,女性12例。平均年齡43.2歲。腎鑄型結(jié)石6例,單發(fā)腎盂結(jié)石12例,多發(fā)腎盂結(jié)石5例,輸尿管上段結(jié)石7例。所有患者均采用腰硬聯(lián)合椎管內(nèi)阻滯麻醉,取患側(cè)墊高向健側(cè)傾斜40度左右體位,在B超定位下作腎穿刺,建立經(jīng)皮腎取石微通道,輸尿管鏡鈥激光碎石,灌注泵沖洗結(jié)合取石鉗取石。結(jié)果所有患者均手術(shù)成功,平均手術(shù)時間(113±28)min。Ⅰ期取凈結(jié)石28例(93.3%),Ⅱ期取凈結(jié)石2例(6.7%)。2例術(shù)后出血較多,經(jīng)夾閉腎造瘺管壓迫止血后出血自行停止。無氣胸、結(jié)腸損傷或中轉(zhuǎn)開放手術(shù)等并發(fā)癥發(fā)生。結(jié)論斜仰臥位經(jīng)皮腎鏡鈥激光治療上尿路結(jié)石安全、效率高、患者手術(shù)難受性好、便于麻醉監(jiān)測、術(shù)者操作舒適,值得臨床推廣使用。
[Abstract]:Objective to investigate the advantages and efficacy of oblique supine position percutaneous nephroscope holmium laser in the treatment of upper urinary calculi. Methods from June 2014 to June 2016, 30 patients with upper urinary calculi were treated with oblique supine holmium: YAG laser, including 18 males and 12 females. The average age was 43.2 years. 6 cases of renal cast stones, 12 cases of single renal pelvis stones, 5 cases of multiple pyelolithiasis and 7 cases of upper ureteral calculi. All patients were anesthetized by lumbar and epidural block. The affected side pad was inclined to 40 degrees or so. The renal puncture was performed under B-ultrasound. The percutaneous nephrolithotomy microchannel was established, and the ureteroscopic holmium laser lithotripsy was established, and the ureteroscopic holmium: YAG laser lithotripsy was used in all patients. Pour pump flushing combined with stone removal forceps to take stone. Results all the patients were successfully operated on. The mean operative time was (113 鹵28) min. 鈪，

本文編號：2400992