斜仰卧位经皮肾镜钬激光治疗上尿路结石30例临床观察

发布时间：2019-01-05 00:13

【摘要】：目的探讨斜仰卧位经皮肾镜钬激光治疗上尿路结石的优点及疗效。方法从2014年6月至2016年6月应用斜仰卧位经皮肾镜钬激光治疗上尿路结石30例,其中,男性18例,女性12例。平均年龄43.2岁。肾铸型结石6例,单发肾盂结石12例,多发肾盂结石5例,输尿管上段结石7例。所有患者均采用腰硬联合椎管内阻滞麻醉,取患侧垫高向健侧倾斜40度左右体位,在B超定位下作肾穿刺,建立经皮肾取石微通道,输尿管镜钬激光碎石,灌注泵冲洗结合取石钳取石。结果所有患者均手术成功,平均手术时间(113±28)min。Ⅰ期取净结石28例(93.3%),Ⅱ期取净结石2例(6.7%)。2例术后出血较多,经夹闭肾造瘘管压迫止血后出血自行停止。无气胸、结肠损伤或中转开放手术等并发症发生。结论斜仰卧位经皮肾镜钬激光治疗上尿路结石安全、效率高、患者手术难受性好、便于麻醉监测、术者操作舒适,值得临床推广使用。
[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 卤28) min. 鈪，

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