资源描述：
《微创经皮肾镜取石术治疗马蹄肾结石》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、微创经皮肾镜取石术治疗马蹄肾结石［摘耍］冃的观察微创经皮肾镜取石术治疗马蹄肾结石临床效果。方法回顾性分析在2005年6月〜2009年6月期间12例由KLB加IVU及CT确诊，接受微创经皮肾穿刺取石术治疗马蹄肾结石患者的临床资料。结果12例均一•次成功建立通道。穿刺时I'可12〜23min,平均14mirio手术吋间50〜120min,平均65min0术中出血24〜105mL,平均40mL,均未输血。本组结石一期清除率为83.3%(10/12),2例需要二次取石,术中无需要输血患者，未出现严重并发症,平均住院天数7d,随访2〜24个月，12
2、例肾积水均有不同程度好转，结石取净者未见结石复发。结论微创经皮肾镜取石术治疗马蹄肾结石效果确切、创伤较小，术后并发症少,具有广泛应用价值。［关键词］微创经皮肾镜取石术;肾结石;马蹄肾［中图分类号］R692.lt文献标识码］A［文章编号］1673-9701(2010)10-29-02MinimallyInvasivePcrcutancousNephrolithotomyLithotripsyforMartyKidneyStonesGAOZhiyongDepartmentofUrology,theThirdPeople"sHospitalof
3、YongzhouCity,Yongzhou425000,China［Abstract］ObjectiveToobservetheclinicaleffectsofminimallyinvasivepercutaneousnephrolithotomy1ithotripsyinthetreatmentofMartykidneystones.MethodsAretrospectiveanalysiswasmadeof12casesofMartykidneystonesfromJune2000toJune2007diagnosedbyKUBpl
4、usIVUandCTandreceivedtheminimallyinvasivepercutancoustreatmentofrenalpuncture.ResultsAchannolwassuccessfullyestablishedin12cases,andpuncturetime12to23min,withanaverageof14min.Operativetimewas43to185min,withanaverageof93-5min,andbleeding24to105mL,anaverageof40mL,withnoneof
5、bloodtransfusion.Astoneclearanceratewas83.3%(10/12),thesecondstonetakingwasneededin2cases,nocasesneededforbloodtransfusioninsurgery,withnoseriouscomplicalions,andaveragehospitalizationstaywas21days,withafollowedupof2to24months,varyingdegreeofhydronephrosiswasimprovedin12c
6、ases,andafterstoneswereremoved,therewasnostonerecurrence.ConelusionMinimallyinvasivepercutaneousnephrolithotomylithotripsyforMartykidneystonesshowspreciseeffect,lesstraumaandfewerpost-operativecomplications,worthyofwideapplication.［Keywords］Minimallyinvasivepercutaneousne
7、phrolithotomylithotomy;Kidneystones;Martykidney马蹄肾是少见的先天性肾脏发育界常,常伴肾结石等合并症［1］。本文回顾性分析在2005年6月〜2009年6月期间12例由KUB加IVU及CT确诊,接受微创经皮肾穿刺取石术治疗马蹄肾结石患者的临床资料,现报道如下。1资料与方法1.1临床资料本纽12例马蹄肾患者均经KU3加1VU及CT确诊，诊断标准符合临床及文献标准［2］,具屮男9例，女3例,年龄18〜54岁,平均35.5岁。均因腰腹痛就诊查体时发现。其中马蹄肾并双侧结石4例，多发性结石3例,单发肾盂
8、结石3例，上、下盏结石各1例，12例屮并输尿管上段结石1例，并肾盂输尿管连接部梗阳.1例。结石直径大小为2.5〜&3cm。患者就诊时心肺无界常，左侧腰辅助检查:尿常规RBC(++),肝肾功能等
