低压灌注超声碎石清石治疗感染性肾结石42例疗效观察

发布时间：2018-04-23 22:36

本文选题：感染性结石 + 低压灌注　；参考：《中国微创外科杂志》2017年06期

【摘要】：目的探讨低压灌注标准通道经皮肾镜超声碎石术治疗感染性肾结石的临床效果。方法 2013年10月~2015年9月,对42例感染性肾结石术前抗感染治疗,行低压(30~50 cm H_2O)灌注经皮肾镜超声碎石清石术。11例坚硬、光滑结石,辅助气压弹道碎石,22例行点触式探针超声碎石清石,其余9例行原超声探针碎石清石。结果 40例一期成功手术,2例术后1个月二期取石。结石残留2例,行体外冲击波碎石和药物排石治愈。术中、术后未出现大出血、邻近脏器损伤及全身炎症反应综合征。术后发热6例,体温均低于38℃。随访3~24个月,平均6个月,无结石残留和复发。结论低压灌注标准通道经皮肾镜超声碎石清石术治疗感染性结石安全、高效。
[Abstract]:Objective to explore the clinical effect of percutaneous nephrolithotomy by percutaneous nephrolithotomy for the treatment of infectious renal calculi. Methods in September ~2015 October 2013, 42 cases of infectious renal calculi were treated for anti infection before operation, and 30~50 cm H_2O was performed by percutaneous nephrolithotripsy with percutaneous nephrolithotripsy, and.11 was hard, smooth stone, and 22 air pressure ballistic lithotripsy. Routine point touch probe ultrasound lithotripsy was performed in the other 9 cases with original ultrasound probe lithotripsy. Results 40 cases were successfully operated in one stage, 2 cases were treated with stone removal in two stages 1 months after operation. 2 cases of residual stones were cured by extracorporeal shock wave lithotripsy and drug discharge. No massive hemorrhage, adjacent organs injury and systemic inflammatory reaction syndrome were found after operation. The postoperative fever 6 was 6. The body temperature was lower than 38 C. The follow-up period of 3~24 months, average 6 months, no stone residue and recurrence. Conclusion the low pressure perfusion standard channel transdermal renal endoscopic ultrasound lithotripsy is safe and efficient for the treatment of infectious stones.

【作者单位】：南京中医药大学附属连云港市中医院泌尿外科;
【基金】：连云港市社会发展科技基金(SH1417)
【分类号】：R699.2

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