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