|本期目录/Table of Contents|

[1]张琳,罗海燕,戴圣道,等.彩色多普勒超声引导下微创经皮肾穿刺输尿管镜下治疗孤立肾肾结石的临床应用[J].慢性病学杂志,2016,(03):301-304.
　ZHANG Lin,LUO Hai-yan,DAI Sheng-dao,et al.Clinical application of minimally invasive percutaneous nephrolithotomy guided by colour Doppler ultrasound on treatment of solitary kidney stones[J].,2016,(03):301-304.
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彩色多普勒超声引导下微创经皮肾穿刺输尿管镜下治疗孤立肾肾结石的临床应用(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2016年03期
页码:
301-304
栏目:
论著
出版日期:
2016-06-02

文章信息/Info

Title:
Clinical application of minimally invasive percutaneous nephrolithotomy guided by colour Doppler ultrasound on treatment of solitary kidney stones
作者:
张琳;  罗海燕;  戴圣道;  罗林
邵阳市第一人民医院，湖南邵阳422001
Author(s):
ZHANG Lin;  LUO Hai-yan;  DAI Sheng-dao;  LUO Lin
The First People’s Hospital of Shaoyang City, Shaoyang, Hunan 422001, China Corresponding author: ZHANG Lin, E-mail: zhanglin03080@163.com
关键词:
彩色多普勒超声; 微创经皮肾穿刺输尿镜下取石术; 孤立肾肾结石
Keywords:
Colour Doppler ultrasound;  Minimally invasive percutaneous nephrolithotomy;  Solitary kidney stones
分类号:
R699
DOI:
-
摘要:
目的探讨彩色多普勒超声引导下微创经皮肾穿刺输尿管镜下取石术（MPCNL） 治疗孤立肾肾结石 的可行性和优越性。方法彩色多普勒超声引导下行MPCNL 治疗孤立肾肾结石64 例，其中右肾36 例， 左肾28 例，有手术史8 例。结果手术全部成功，总穿刺成功率100%，一期取石53 例（82.81%），二期 取石11 例（17.18%），单通道取石57 例，双通道7 例。无腹腔内脏损伤，无明显发热，无严重出血，术侧 胸腔少量积液2 例（3.12%）。术后每两周超声随诊， 1 个月后60 例（93.75%） 结石完全清除， 4 例 （6.25%） 结石残留1~3 粒，直径＜5 mm。复查肾功能正常。结论超声引导下经皮穿刺定位准确是建立 经皮肾通道的理想定位方法，结合MPCNL 能有效取石，保护及改善肾功能，是治疗孤立肾肾结石的理想 方法，有较大优势，对临床有很好的应用价值
Abstract:
Objective To investigate the feasibility and superiority of minimally invasive percutaneous nephrolithotomy (MPCNL) guided by colour Doppler ultrasound on treatmentof solitary kidney stones. Methods MPCNL guided by colour Doppler ultrasound was used to treat 64 patients with solitary kidney stones, among which 36 cases were on the right and 28 cases on the left.. Eight cases had surgery history. Results All operations were successful with a total success rate of 100% . Fifty three cases (82.81%） experienced one- stage MPCNL, and 11 cases (17.18% ) experienced two sessions; 57 cases were via single channel, and 7 cases were via double channels. All cases were followed up with ultrasound per two weeks. The calculus of 60 cases (93.75%) were completely removed after 1 month, and 4 cases (6.25%) had residual stones 1-3 capsules whose diameter <5 mm. Renal functions of all cases were reviewed and back to normal. Conclusions MPCNL guided by colour Doppler ultrasound was accurate, safe, less invasive,and easy to operate, and it can remove the renal stone effectively, protect and improve kidney function, so it is an ideal method treating solitary kidney stones, and it has a good clinical application value.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介：张琳，本科，副主任医师，研究方向：超声 通信作者：张琳，E-mail：zhanglin03080@163.com
更新日期/Last Update: 2016-05-27