[1]梁宏),魏金星),文建国),等.超声引导经皮肾镜气压弹道联合超声碎石治疗马蹄肾结石的效果[J].郑州大学学报(医学版),2012,(01):118.
 LIANG Hong,WEI Jinxing,WEN Jianguo,et al.Efficacy of percutaneous nephrolithotomy with pneumatic and ultrasonic lithotripsy guided by ultrasound for horseshoe kidney with calculi[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(01):118.
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超声引导经皮肾镜气压弹道联合超声碎石治疗马蹄肾结石的效果
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年01期
页码:
118
栏目:
应用研究
出版日期:
2012-01-20

文章信息/Info

Title:
Efficacy of percutaneous nephrolithotomy with pneumatic and ultrasonic lithotripsy guided by ultrasound for horseshoe kidney with calculi
作者:
梁宏1)魏金星1)文建国1)李春伟1)程传宇2)武玉东1)#
1)郑州大学第一附属医院泌尿外科 郑州 450052 2)奥尔胡斯临床医学院 奥尔胡斯 8200
Author(s):
LIANG Hong1)WEI Jinxing1)WEN Jianguo1)LI Chunwei1)CHENG Chuanyu2)WU Yudong1)
1)Department of Urology, the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052 2)Institute of Clinical Medicine,Aarhus University Hospital,Aarhus 8200
关键词:
马蹄肾结石经皮肾镜取石术气压弹道碎石术超声碎石术
Keywords:
horseshoe kidney with calculipercutaneous nephrolithotomypneumatic lithotripsyultrasonic lithotripsy
分类号:
R691
摘要:
目的:评价超声引导经皮肾镜气压弹道联合超声碎石术治疗马蹄肾结石的效果。方法:46例马蹄肾结石患者行经皮肾镜气压弹道联合超声碎石术治疗,对其手术和住院时间,术中和术后并发症以及结石清除情况等进行分析。结果:46例患者Ⅰ期均成功建立经皮肾通道。平均住院5.0~17.0(6.9±1.8) d,手术时间为46~121(75±24) min,结石处理时间为31~68(49±17) min,失血量为28~92(60±31) mL,患者围手术期无输血;Ⅰ期结石清除率为82.6%(38/46),Ⅰ+Ⅱ期结石清除率为91.3%(42/46),2例术后辅助体外冲击波碎石, 总结石清除率为95.7%(44/46)。未出现与碎石相关的并发症。结论:超声引导经皮肾镜气压弹道联合超声碎石术治疗马蹄肾结石疗效好。
Abstract:
Aim:To investigate the feasibility of percutaneous nephrolithotomy(PCNL) with pneumatic and ultrasonic lithotripsy under ultrasound guidance for horseshoe kidney with calculi.Methods:Clinical data of 46 cases of horseshoe kidney with calculi treated by PCNL with pneumatic and ultrasonic lithotripsy under ultrasound guidance were retrospectively analyzed.Results:The 46 cases were successfully established artificial calculusextracting passage with onestage operation.The average hospitalization time was 5.0~17.0 (6.9±1.8) days,operation time was 46~121(75±24) min, calculi processing time was 31~68(49±17) min,and the average blood loss was 28~92(60±31) mL.All patients did not transfuse blood;calculifree rate was 82.6%(38/46) with onestage operation,and that was 91.3%(42/46) with twostage operation.Two cases accepted postoperative adjuvant extracoporeal shock wave lithotripsy,and total calculi clearance rate reached 95.7% (44/46).There was no associated complication.Conclusion:PCNL with pneumatic and ultrasonic lithotripsy under ultrasound guidance is safe and reliable for horseshoe kidney with calculi.

参考文献/References:

[1]Yohannes P,Smith AD.The endourological management of complications associated with horseshoe kidney[J].J Urol,2002,168(1):5 [2]李逊,曾国华,吴开俊,等.微创经皮肾穿刺造瘘术治疗上尿路疾病[J].中华泌尿外科杂志,2004,25(3):169 [3]刘星明,任胜强,邬旭明,等. 微创经皮肾镜取石术治疗复杂性输尿管上段结石[J].临床泌尿外科杂志,2006,21(2):88 [4]Hofmann R,Olbert P,Weber J,et al.Clinical experience with a new ultrasonic and lithoclast combination for percutaneous litholapaxy[J].BJU Int,2002,90(1):16 [5]Hofmann R, Weber J, Heidenreich A, et al. Experimental studies and first clinical experience with a new Lithoclast and ultrasound combination for lithotripsy[J]. Eur Urol,2002,42(4):376 [6]Olbert P, Weber J, Hegele A, et al. Combining Lithoclast and ultrasound power in one device for percutaneous nephrolithotomy: in vitro results of a novel and highly effective technology[J].Urology,2003,61(1):55 [7]Pietrow PK, Auge BK, Zhong P, et al. Clinical efficacy of a combination pneumatic and ultrasonic lithotrite[J]. J Urol,2003,169(4):1247 [8]李建兴,田溪泉,张军晖,等. 经皮肾镜下气压弹道碎石联合超声碎石术治疗复杂性肾结石疗效观察[J]. 临床泌尿外科杂志,2004,19(9):534 [9]李建兴,牛亦农,田溪泉,等. 经皮肾镜气压弹道联合超声碎石术的安全性及疗效分析[J].中华医学杂志,2006,86(28):1975 [10]Esuvaranathan K,Tan EC,Tung KH,et al.Stones in horseshoe kidneys:results of treatment by extracorporeal shock wave lithotripsy and endourology[J].J Urol,1991,146(5):1213

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备注/Memo

备注/Memo:
doi:10.3969/j.issn.16716825.2012.01.039 #通讯作者,男,1963年5月生,博士,教授,研究方向:泌尿系结石,Email:wyd@163.com
更新日期/Last Update: 1900-01-01