摘要
目的:探讨经皮肾镜超声碎石治疗结石性脓肾的疗效及安全性。方法:对32例结石性脓肾患者在超声定位下行经皮肾镜超声碎石术。结果:32例手术均获成功,一期手术26例,二期手术6例即一期经皮肾穿刺造瘘,二期超声碎石,术后无严重并发症。5例术后体温为(38~39)℃,(3~7)天后恢复正常,其余病例体温<38℃。随访6月~4年患肾功能恢复部分恢复28例(87.5%),患肾萎缩4例(12.5%)。结论经皮肾镜超声碎石治疗结石性脓肾具有安全、高效、微创的优点。
Objective：To investigate the curative effect and the safety of percu-taneous ultrasonic lithotripsy for calculous pyonephrosis.Methods：Percutaneous Ultrasonic lithotripsy for 32 cases with calculous pyonephrosis by ultrasound localiz-ation.Results：All the patients were curative after operation,primary operation in 26 cases,secondary operation in 6 cases.Namely,Percutaneous nephrostomy is primary operation,and ultrasonic lithotripsy is second operation.32 cases recovered well with out serious complications.The body temperature of 5 cases after operation waved（38~39）℃ and returned to normal after（3~7） days.The remaining case temperature 38℃.Partial recovery of renal function in 28 patients（87.5%）,renal atrophy in 4 cases（12.5%） after 6 months^4 years follow-up.Conclusion：Percutaneous ultrasonic lithotripsy is a safe,effecient and minimally invasive technique for patients with cal-culous pyonephrosis.
出处
《中国医药导刊》
2012年第1期21-21,23,共2页
Chinese Journal of Medicinal Guide
关键词
肾结石
脓肾
经皮肾镜
超声碎石
Kidney stones
Calculous Pyonephrosis
Percutaneous Endoscopy Surgery
Ultrasonic Lithotripsy
