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瑞士EMS第四代碎石清石系统治疗复杂性肾结石(附52例报告) 被引量:10

Treatment of complex renal calculi with percutaneous nephrolithotomy using fourth generation Swiss LithoClast Master (report of 52 cases)
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摘要 目的:探讨经皮肾镜下应用瑞士EMS第四代碎石清石系统治疗治疗复杂性肾结石的临床效果和操作体会。方法:总结分析我院应用经皮肾镜取石术(PCNL),结合瑞士EMS第四代碎石清石系统治疗治疗复杂性肾结石52例的临床资料。结果:47例均成功行一期取石术,2例需二期PCNL清石,3例需ESWL。手术时间74±26分钟,失血量0.61±0.59g/L,残石率14.4%±9.3%。3例术后大出血,术中未见严重并发症。结论:瑞士EMS第四代碎石清石系统整合气压弹道碎石与超声碎石技术,处理复杂肾结石安全高效。 Objective: To explore the clinical efficiency and experience of percutaneous nephrolithotomy (PCNL) with the fourth generation Swiss LithoClast Master in treating complex renal calculi. Methods: We retrospectively probed 52 patients who performed PCNL for complex renal calculi with the advanced fourth generation Swiss LithoClast Master and neotype nephroscopy. Results: 47 cases were successful underwent one-stage PCNL, 2 cases needed two-stage PCNL and 3 cases reieved postoperatively EWSL. The operation time was74 minutes±24, estimated blood loss volume was 0.61g/L±0.59 and the residuals stone rate was 14.4%±9.3%. Postoperatively 3 cases of severe bleeding ocurred, no severe complication was observed intraoperatively. Conclusions: The combined application of pneumatic and ultrasonic power in the fourth generation Swiss LithoClast Master appears to be efficacious and safe for disintegrating and removing complex renal calculi1.
出处 《现代生物医学进展》 CAS 2009年第24期4686-4688,共3页 Progress in Modern Biomedicine
关键词 经皮肾穿刺造瘘取石术 肾结石 弹道超声波碎石清石系统 Percutaneous nephrolithotomy Renal calculi Swiss LithoClast Master
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  • 1李建兴,田溪泉,张军晖,曹栋威,邢念增.经皮肾镜下气压弹道碎石联合超声碎石术治疗复杂性肾结石疗效观察[J].临床泌尿外科杂志,2004,19(9):534-535. 被引量:139
  • 2马戟,吴文校,吴坚,林文彬,彭俊杰.微小切口辅助经皮肾输尿管镜治疗无积液肾铸形结石[J].中国内镜杂志,2006,12(5):541-541. 被引量:9
  • 3麦惠洪,廖锦先,邓忠贵,李剑锋.微创经皮肾穿刺造瘘取石术治疗上尿路结石780例报告[J].现代医院,2006,6(6):21-22. 被引量:1
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