摘要
目的探讨硬肾镜与软肾镜联合在经皮肾镜碎石术(PCNL)中的应用及其意义。方法 2008年7月至2009年12月,共完成PCNL治疗直径>3cm肾结石共86例,其中单纯使用硬肾镜38例,联合应用硬肾镜与软肾镜48例。统计患者年龄、结石大小、手术时间、术中出血量、手术后并发症、结石清除率并进行比较分析。结果联合应用硬肾镜和软肾镜的48例患者中,平均手术时间为(78±32)min,平均术中出血量为(135±86)mL;无术中、术后严重出血,一期结石清除率为90%。单纯使用硬肾镜的38例患者中,平均手术时间为(65±24)min,平均术中出血量为(187±94)mL,1例出现术后严重出血,一期结石清除率为74%。结论联合硬肾镜与软肾镜行PCNL与单纯使用硬肾镜相比,可以减少术中出血量及术后并发症的发生,并提高一期结石清除率。
Objective To investigate the significance of combined use of both rigid and flexibe nephroscopy in percutaneous nephrolithotomy（PCNL）.Methods Between July 2008 and December 2009,A total of 86 patients with kidney calculi were treated with PCNL.48 patients were treated with both rigid nephroscopes white 38 patients were treated with rigid nephroscope only.The age of Patients,diameter of calculi,operating time,perioperative blood loss,postoprative complications and stone free rates were recorded and analyzed.Results For patients treated with both rigid nephroscope and flexible nephroscope,mean operating time was（78±32）min,mean perioperative blood loss was（135±86）mL and stone free rate after first PCNL was 90%.No serious complications were found.In patients treated with only rigid nephroscope,mean operating time was（65±24）min,mean perioperative blood loss was（187±94）mL,and stone free rate after first PCNL was 74%.One case of serious bleeding.Conclusion PCNL using both rigid nephroscope and flexible nephroscope can significantly reduce blood loss during PCNL and improve stone free rate after a single PCNL.
出处
《现代泌尿外科杂志》
CAS
2011年第3期238-239,243,共3页
Journal of Modern Urology
关键词
经皮肾镜碎石术
硬肾镜
软肾镜
结石清除率
肾结石
Percutaneous nephrolithotomy
rigid nephroscope
flexible nephroscope
stone free rate
kidney calculi
