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经皮肾镜取石术的临床经验

[Clinical experience of percutaneous nephrolithotomy].

作者信息

Taki Y, Hayashi T, Hiura M, Ikai K, Kiriyama T

机构信息

Department of Urology, Wakayama Red Cross Hospital.

出版信息

Hinyokika Kiyo. 1987 Aug;33(8):1147-9.

PMID:3425512
Abstract

Between July, 1984 and January, 1986, 20 cases of renal and ureteral stones were treated by percutaneous nephrolithotomy (PNL). Stone removal was successful in 17 cases (85%). In 14 cases, stones were removed completely and in 3 cases there were small residual fragments. There were 4 major and 9 minor complications. The major complications consisted of loss of tract in 2 cases, bleeding from the tract after removal of nephrostomy catheter in 1 case and pneumothorax in 1 case. The minor complications consisted of small perforation during PNL in 6 cases, gross hematuria impossible to continue PNL in 2 cases and ureteral injury due to ureteral occlusion catheter in 1 case. No patients required blood transfusion. In near future all urologists will be required to master the technique of PNL.

摘要

1984年7月至1986年1月期间,采用经皮肾镜取石术(PNL)治疗了20例肾和输尿管结石患者。17例(85%)结石清除成功。其中14例结石完全清除,3例有小的残留碎片。有4例主要并发症和9例次要并发症。主要并发症包括2例通道丢失、1例拔除肾造瘘导管后通道出血和1例气胸。次要并发症包括6例经皮肾镜取石术期间小穿孔、2例因严重血尿无法继续经皮肾镜取石术和1例因输尿管阻塞导管导致输尿管损伤。无患者需要输血。在不久的将来,所有泌尿外科医生都将被要求掌握经皮肾镜取石术技术。

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