超声引导下经皮肾穿刺钬激光碎石术的实施体会.docVIP

精品论文 参考文献 超声引导下经皮肾穿刺钬激光碎石术的实施体会 刘 伟 黄奇虎 　　四川省广安市广安福源医院超声科 四川广安 638000 　　【摘 要】目的：总结超声引导下实施经皮肾穿刺钬激光碎石术的体会，探讨其临床疗效。方法：选取2014年1月～2015年3月之间于我院接受治疗的肾结石患者73例，实施超声引导下经皮肾穿刺钬激光碎石术，观察患者的手术情况、结石清除情况与预后情况。结果： 73例患者均顺利完成手术，无中转开放手术者，达到100%的成功率；经一次手术共68例患者的肾结石被完全清除，达到93.2%的结石清除率，其余未完全清除结石的5例患者则经过二期手术取净残余结石；所有患者均没有发生严重并发症，仅1例患者发生术中大出血，经过处理后停止出血，最终痊愈出院。结论：治疗肾结石时于超声引导下实施经皮肾穿刺钬激光碎石术，术中出血量少，手术安全性高，且???后患者可以尽快恢复，并发症发生率低，疗效显著，值得推广。 　　【关键词】经皮肾穿刺；钬激光碎石术；超声引导；治疗效果 　　【中图分类号】R692.4 【文献标识码】B 【文章编号】1764-8999（2015）7-0601-01 　　【Abstract】Objective: summarizes the ultrasound guided percutaneous renal biopsy of holmium laser lithotripsy experience, to explore the clinical curative effect. Methods: from 2014 January to 2015 March treated in our hospital between 73 cases of patients with kidney stones, the implementation of ultrasound guided percutaneous renal puncture holmium laser lithotripsy, observe the patients operation situation and situation of stone removal and prognosis. Results: 73 patients were successfully completed surgery, no transfer open surgery, the success rate of 100%; By an operation a total of 68 cases of patients with kidney stones were completely removed, stone clearance rate up to 93.2%, the rest is not completely remove stones, 5 patients take net residual calculi after the second phase of operation; All patients were no serious complications occurred, only 1 case occurred in patients with massive hemorrhage, after processing to stop bleeding, eventually recovered discharged from hospital. Conclusion: treating kidney stones Yu Chaosheng implement skin kidney puncture guided by holmium laser lithotripsy, less intraoperative blood loss, high safety, operation and postoperative patients can recover as soon as possible, low complication rate, curative effect is distinct, worthy of promotion。 　　【Key words】percutaneous renal biopsy; Holmium laser lithotripsy. Guided by ultrasound. Treatment effect 　　泌尿系结石是泌尿外科的一种多发、常见疾病。传统的肾切开取石术或肾切除术虽然取得了一定的治疗效果，但需在腰部行一较大切口，会造成较大创伤，引起