[1]李龙坤,宋彩萍,李为兵,等.经皮肾穿刺造瘘碎石术治疗鹿角形肾结石[J].陆军军医大学学报(原第三军医大学学报),2007,29(15):1530-1532.
 LI Long-kun,SONG Cai-ping,LI Wei-bing,et al.Percutaneous nephrolithotomy for staghorn nephrolithiasis[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(15):1530-1532.
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
29卷
期数:
2007年第15期
页码:
1530-1532
栏目:
论著
出版日期:
2007-08-15

文章信息/Info

Title:
Percutaneous nephrolithotomy for staghorn nephrolithiasis
作者:
李龙坤宋彩萍李为兵鄢俊安张瑞祺宋波
第三军医大学西南医院全军泌尿外科研究所
Author(s):
LI Long-kun SONG Cai-ping LI Wei-bing YAN Jun-an ZHANG Rui-qi SONG Bo
Urinary Surgery Research Center, Southwest Hospital, Third Military Medical University, Chongqing 400038, China
关键词:
鹿角形肾结石经皮肾穿刺造瘘碎石术休克
Keywords:
staghorn calculus percutaneous nephrolithotomy shock
分类号:
R692.4; R699.2
文献标志码:
A
摘要:
目的    探讨肾脏鹿角形结石的经皮肾穿刺造瘘碎石术(percutaneous nephrolithotomy, PCNL)治疗及注意事项。    方法    回顾总结158例行PCNL治疗,以及PCNL结合体外冲击波碎石(extracorporeal shock-wave lithoclasty, ESWL)治疗的肾脏鹿角形结石患者。    结果    一期PCNL清除结石64例,结合ESWL 73例,2次以上PCNL 46例,结石清除率83.5%,术中术后发生休克13例,发热9例,肉眼血尿者47例(5例患者因严重肉眼血尿而拔除双J管),耻骨上区、腰腹部不适及肾绞痛23例(4例患者经对症治疗无好转而拔除双J管)。    结论    PCNL是肾鹿角型结石的有效治疗方法,术中术后应密切注意患者全身情况。
Abstract:
Objective    To report the experience of percutaneous nephrolithotomy (PCNL) in the treatment of staghorn nephrolithiasis.     Methods    Totally 158 patients with staghorn nephrolithiasis treated by PCNL or together with extracorporeal shock-wave lithoclasty (ESWL) were retrospectively reviewed.     Results    Sixty-four patients were well cured with one-staged PCNL, 73 with PCNL plus ESWL, and 46 with more than two-staged PCNL. Stone clearance rate was 83.5%. The complications included shock in 13 patients, fever in 9, gross hematuria in 47, discomfort in 23, postoperative removal of double pigtail stents in 9 (5 due to serious hematuria, 4 for unendurable discomfort).      Conclusion    PCNL is an effective surgery for staghorn calculus, however the occurrence of shock should be paid attention to.
更新日期/Last Update: 2008-09-26