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经皮肾镜取石术。重点关注大型肾结石。

Percutaneous nephrolithotomy. With emphasis on large renal stones.

作者信息

Nishimura T, Abe H, Tsuboi N, Hara M, Kanamori S, Okumura S, Yoshida K, Akimoto M

出版信息

Urology. 1985 Aug;26(2):143-8. doi: 10.1016/0090-4295(85)90047-0.

DOI:10.1016/0090-4295(85)90047-0
PMID:4024404
Abstract

With utilization of safety guide wire, dilator (up to 36F), and Mazzariello-Caprini forceps, percutaneous removal of renal stone was successfully performed in 18 cases, including 5 cases with staghorn calculus, although parts of the staghorn calculus were left in 4 cases. Attempts at stone extraction were performed on the day nephrostomy was made. All of the renal stones excluding staghorn calculi were removed without disruption followed by satisfactory postoperative renal function. Unexpectedly Kocher forceps was found to be a useful and relatively safe instrument for quick fragmentation and removal of staghorn calculi.

摘要

使用安全导丝、扩张器(最大至36F)和马扎里埃洛 - 卡普里尼钳,成功地对18例患者进行了经皮肾取石术,其中包括5例鹿角形结石患者,不过4例患者的部分鹿角形结石残留。在进行肾造瘘术当天尝试取石。除鹿角形结石外的所有肾结石均顺利取出,术后肾功能良好。出乎意料的是,发现柯赫尔钳是一种用于快速破碎和取出鹿角形结石的有用且相对安全的器械。

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