经皮肾输尿管结石取出术：400例经验

Percutaneous removal of renal and ureteral calculi: experience with 400 cases.

作者信息

Reddy P K, Hulbert J C, Lange P H, Clayman R V, Marcuzzi A, Lapointe S, Miller R P, Hunter D W, Castaneda-Zuniga W R, Amplatz K

出版信息

J Urol. 1985 Oct;134(4):662-5. doi: 10.1016/s0022-5347(17)47372-1.

DOI:10.1016/s0022-5347(17)47372-1

PMID:4032567

Abstract

Percutaneous removal of renal and ureteral calculi was performed in 500 patients since 1979. Experience with our first 100 cases enabled us to accumulate a variety of techniques. We report our experience with the subsequent 400 cases. As judged by plain films of the kidneys, ureters and bladder, and renal tomograms without contrast medium we attained a status free of stones in 99 per cent of the patients with renal and 94.5 per cent with ureteral calculi. Intravenous-assisted local anesthesia was used in 94 per cent of the cases. There was no mortality and the incidence of complications was low. Most patients with renal and ureteral calculi can be managed successfully and safely by percutaneous methods with good patient tolerance and minimal convalescence.

摘要

自1979年以来，对500例患者进行了经皮肾和输尿管结石取出术。通过我们最初100例病例的经验，我们积累了多种技术。我们报告随后400例病例的经验。根据肾脏、输尿管和膀胱的平片以及无造影剂的肾脏断层扫描判断，我们使99%的肾结石患者和94.5%的输尿管结石患者达到了无结石状态。94%的病例采用静脉辅助局部麻醉。无死亡病例，并发症发生率低。大多数肾和输尿管结石患者可以通过经皮方法成功、安全地治疗，患者耐受性良好，康复期最短。