微创经皮肾穿刺碎石取石术治疗肾结石32例（医疗卫生论文资料）.docVIP

微创经皮肾穿刺碎石取石术治疗肾结石32例（医疗卫生论文资料） 文档信息 ： 文档作为关于“医学心理学”中“外科学”的参考范文，为解决如何写好实用应用文、正确编写文案格式、内容素材摘取等相关工作提供支持。正文6735字，doc格式，可编辑。质优实惠，欢迎下载！ 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：微创经皮肾穿刺碎石取石术治疗肾结石32例 2 1 资料与方法 3 2 结果 3 3 讨论 4 文2：微创经皮肾穿刺输尿管镜双频双脉冲激光碎石治疗复杂性肾结石 6 1 资料与方法 6 2 结果 7 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 10 正文 微创经皮肾穿刺碎石取石术治疗肾结石32例（医疗卫生论文资料） 文1：微创经皮肾穿刺碎石取石术治疗肾结石32例 Treatment of renal calculus with minimally invasive percutaneous nephrolithotomy in 32 patients　　Shao Mingfeng， Chen Jiufa， Zou Jianan，et al　　Department of Urology， the 1st Affiliated Hospital of Anhui College of Traditional Chinese Medicine，Hefei 230031　[Abstract] Objective To evaluate the experience and efficiency of minimally invasive percutaneous nephrolithotomy in treating renal Clinical data of 32 cases with renal calculus with minimally invasive percutaneous nephrolithotomy were The stones were cleared off at one section in 26 cases(%). 6 patients(%) with residual stones after operation were cured by ESWL or by minimally invasive percutaneous nephrolithotomy. Average operative time was hou. Two patients with fever(℃) after operation were cured by antibiotics and no patient needed blood trafusion. The mean hospitalization was 6 days. All cases were followed up in 6 months， no one appeared renal failure and the hydronephrosis in 17 cases alleviated after the Percutaneous nephrolithotomy is a less invasion， effective technique in treating renal caluculi and it is worth generalizing。 [Key words] Renal calculi; Minimally invasive percutaneous nephrolithotomy 自2006年9月至2008年元月，我院应用微创经皮肾穿刺碎石取石技术治疗肾结石32例，疗效确切，现报告如下。 1 资料与方法 临床资料 本组32例，男性19例，女性13例，年龄17～72岁，平均岁。单发肾盂结石11例，单发肾盏结石8例，铸型和多发肾结石13例;其中有不同程度肾积水的17例，孤立肾2例。32例中有6例术前经ESWL治疗无效。结石直径2～3 cm。32例术前查血肌酐均正常。 治疗方法 采用硬膜外麻醉，截石位，膀胱镜下患侧逆行插入F6～F8 输尿管导管，成功后改俯卧位， 患侧肾区腹部下垫枕使患侧抬起约30°，腰背凸起。术中C臂X线定位，以第12肋下，11肋间隙与腋后线到肩胛旁线之间的区域为穿刺点。逆行注水造成人工肾积水，以18号肾穿刺针向所需的肾盏穿刺，穿刺成功后，置入一斑马导丝，在导丝引导下以8F筋膜扩张器开始，扩张至16F～18F，再置入Peel-away鞘建立经皮肾取石通道。用8/ Wolf 输尿管镜经