期刊文献+

经囊肿穿刺肾盏的方法同期治疗肾囊肿和肾结石 预览

The characteristics of simultaneous treatment of renal cyst and kidney stone with calyocentesis by cyst
在线阅读 下载PDF
分享 导出
摘要 目的探讨经囊肿穿刺肾盏的方法同期治疗肾囊肿和肾结石。方法回顾性分析2012年1月至2016年1月我院21例肾结石合并肾囊肿患者的临床资料,21例行逆行插入输尿管导管,行人工肾积水,在超声引导下以18G肾穿刺针经肾囊肿穿刺直达肾集合系统,建立操作通道,行钬激光或超声碎石,双J管上端置于囊肿腔内,肾造瘘管经囊肿腔引流,术后肾造瘘管留置7d拔除,双J管留置3月拔除。结果21例经囊肿穿刺顺利,操作通道建立合理,手术均获成功,无中转开放手术,手术时间45~94min,平均67.5min,术中出血量60~150mL,术后无感染、出血。拔除肾造瘘管后无尿瘘。术后15d复查CT,无结石残留,囊肿消失。21例术后随防时间6~36月,均无结石残留,囊肿复发1例。结论经囊肿穿刺同期治疗肾结石和肾囊肿的经皮肾镜手术具有微创、安全、术后恢复快及住院时间短等优点,可替代传统分期手术,但不具有普遍性,须选择合适病例,严格把握同期手术适应证。 Objective To explore the characteristics of simultaneous treatment of renal cyst and kidney stone with calyocentesis by cyst.Methods The clinical data of 28 cases of kidney stone and renal cyst treated during Jan.2012 and Jan.2016 were retrospectively analyzed.In all cases,the ureteral catheter was retrogradely inserted,and punctured through renal cyst directly to the renal collecting system with 18 G renal puncture needle with the guidance of ultrasound.After the working channel was established,holmium laser lithotripsy or ultrasonic lithotripsy was conducted.The double J catheter was placed in the cyst cavity,and the nephrostomy tube drained through the cyst cavity.The nephrostomy tube was removed 15 days after operation and double J catheter was removed 3 months after operation.Results All operations were successful,and there was no conversion to open surgery.The mean operation time was 67.5 min(ranging 45-94 min).The estimated blood loss ranged from 45 to 110 mL.No postoperative hemorrhage or infection occurred.No urinary fistula was observed after the removal of the nephrostomy tube.CT on postoperative day 15 showed no residual stones or renal cysts.During the follow-up of 6-36 months,no residual stones were observed,and cyst recurred in 1 case.Conclusion Simultaneous treatment of renal cyst and kidney stone with percutaneous nephrolithotomy has advantages of minimal invasion,safety,rapid postoperative recovery and short hospitalization time.It is feasible to replace the traditional surgery.However,careful sclection of cases and strict obesrvation of surgical indications are important for successful operation.
作者 万胜红 徐德强 阮建中 张新华 王行环 WAN Sheng-hong;XU De-qiang;RUAN Jian-zhong;ZHANG Xin-hua;WANG Xing-huan(Department of Urology,The First People's Hospital of Xiaogan,Xiaogan 432000;Department of Urology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)
出处 《现代泌尿外科杂志》 CAS 2019年第1期55-57,共3页 Journal of MOdern Urology
关键词 肾结石 肾囊肿 经囊肿穿刺 同期治疗 经皮肾镜手术 kidney stone renal cyst cyst puncture simultaneous treatment percutaneous nephrolithotomy
作者简介 万胜红(1972-),男(汉族),学士学位,副主任医师.研究方向:泌尿系结石的诊治.E-mail:xghwsh@163.com
  • 相关文献

参考文献2

二级参考文献17

共引文献21

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈