经皮肾镜输尿管镜气压弹道超声联合治疗结石性脓肾
【摘要】 目的 探讨结石性脓肾的治疗方法和疗效。方法 对26例结石性脓肾患者，20例采用经皮肾镜气压弹道超声Ⅰ期碎取石术，6例采用经尿道输尿管镜碎取石术治疗。结果 20例患者Ⅰ期经皮肾镜结石取净率90%(18/20)，2例术后补充ESWL治愈。术后6个月以上随访22例，患肾功能恢复或部分恢复18例(69.2%),患肾萎缩(无功能)3例(11.5%)，患肾切除1例(3.8%)。结论 经皮肾镜输尿管镜气压弹道超声联合Ⅰ期治疗结石性脓肾，安全、有效，明显缩短患者治疗时间，减轻患者负担，具有创伤小，可有效提高结石性脓肾保肾治疗率。【关键词】经皮肾镜；尿路结石；脓肾
Treatment for calculous pyonephrosis with percutaneous nephrolithotipsy and ureterorenoscope lithotripsy
DU You-huai,WANG Xiao-feng,Teng Dong-hai.Department of Urology of Leshan City People’s Hospital,Leshan,Sichuan 614000,China
【Abstract】 Objective To investgate the efficiency and methods of calculous pyonephrosis by percutaneous nephrolithotripsy(PCNL)and ureterorenoscope lithotripsy.Methods 26 cases of calculous pyonephrosis,percutaneous nephrolithotripsy were administered to 20 cases and ureterorenoscope lithotripsy were administered to 6 cases ......
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