肾鹿角状结石开放手术中气压弹道碎石术的应用 |
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引用本文: | 龚任余,陈善和,周海波.肾鹿角状结石开放手术中气压弹道碎石术的应用[J].中国当代医药,2010,17(5):21-22. |
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作者姓名: | 龚任余 陈善和 周海波 |
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作者单位: | 湖南省隆回县人民医院泌尿外科,湖南隆回,422000 |
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摘 要: | 目的:探讨和评价肾完全鹿角状或部分鹿角状结石开放手术中,气压弹道碎石术的应用效果。方法:回顾性分析23例患者采用肾盂及肾实质切开取石,15例患者采用肾盂或肾实质切开加气弹道碎石术取石资料。结果:单纯开放组出血平均(223.00±6.24)ml,手术时间(142.00±7.38)min,残余结石6例;气压弹道碎石组出血平均(116.00±2.27)ml,手术时间(108.00+8.14)min,残余结石2例,手术顺利,无并发症。结论:目前,肾完全鹿角状或部分鹿角状结石取石治疗.仍是一个比较困难的问题,应用开放手术联合气压弹道碎石术取石,有利于缩短手术时间、减少手术中出血量、降低残余结石率。在基层医院是一种治疗鹿角状结石的较好方法。
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关 键 词: | 肾结石 碎石术 基层医院 |
Combination with open operative methods and lithotripsy for the removal of complex staghorn calculus |
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Authors: | GONG Renyu CHEN Shanhe ZHOU Haibo |
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Affiliation: | (Department of Urology,Longhui People's Hospital,Longhui 422000,China) |
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Abstract: | Objective: To evaluate the effect of combination with open operative methods and lithotripsy for complex staghorn calculus. Methods: The data of 23 cases treated with pyelolithotomy and nephrolithotomy,15 cases treated with pyelolithotomy or nephrolithotomy and lithotripsy were reviewed. Results: Patients who underwent simple open surgery,the average intraoperative blood loss was (223.00+6.24) ml,the mean operative time was (142.00±7.38) rain,small stones were left in 6 cases; patients treated with open surgery and lithotripsy,the average intraoperative blood loss was (116.00±5.27) ml, the mean operative time was (108.00±8.14) min,small stones were left in 2 cases. Conclusion: Combination with open operative methods and lithotripsy for complex staghorn calculus,this procedure has the advantages of less bleeding,less operative time and less stones left, It is a good choice for the treatment of staghorn calculus in the primary hospitals. |
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Keywords: | Renal calculus Lithotripsy Primary hospital |
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