[1]马海* 李杨 顾生强 许如刚 张前兴 董孟华 周文奇 梁玉风.F4.8可视化穿刺系统在经皮肾镜碎石术中的应用：附58例报告[J].中国微创外科杂志,2019,01(9):826-829.
　Ma Hai,Li Yang,Gu Shengqiang,et al.Clinical Application of F4.8 Visual Puncture System in Percutaneous Nephrolithotomy: Report of 58 Cases[J].Chinese Journal of Minimally Invasive Surgery,2019,01(9):826-829.
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F4.8可视化穿刺系统在经皮肾镜碎石术中的应用：附58例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年9期
页码:
826-829
栏目:
临床研究
出版日期:
2019-09-25

文章信息/Info

Title:
Clinical Application of F4.8 Visual Puncture System in Percutaneous Nephrolithotomy: Report of 58 Cases
作者:
马海* 李杨 顾生强 许如刚 张前兴 董孟华 周文奇 梁玉风
(陆军第九四八医院泌尿外科，乌苏833000)
Author(s):
Ma Hai;  Li Yang;  Gu Shengqiang;  et al.
Department of Urology, Army No. 948 Hospital, Wusu 833000, China
关键词:
可视化穿刺系统; 经皮肾镜碎石术; 泌尿系统结石
Keywords:
Visual puncture system; Percutaneous nephrolithotomy; Urinary calculi
文献标志码:
A
摘要:
目的探讨可视化穿刺系统在经皮肾镜碎石术（percutaneous nephrolithotomy ，PCNL）中的疗效和安全性。方法2016年2月~2018年6月，对58例肾结石及输尿管上段结石应用可视化穿刺系统（All Seeing Needle）行PCNL，全程可视化穿刺，精准进入目标肾盏，确定结石位置，建立通道F4.8（42个）、F12（5个）、F16（12个）或F22（5个）（其中6例F4.8与F16双通道），用EMS超声气压弹道碎石或钬激光碎石。结果58例手术均一期穿刺成功建立通道，手术时间平均36.6 min（15~62 min），术中、术后均未发生出血、尿脓毒血症、肾脏对穿及集合系统穿孔等并发症。术后住院平均3.5 d(2~7 d）。结石清除率96.6%（56/58），2例下盏残留结石>3 mm，均行ESWL碎石。结论可视化穿刺系统穿刺精准，安全可靠，并发症少，适合应用于PCNL。
Abstract:
ObjectiveTo evaluate the efficacy and safety of visual puncture system in percutaneous nephrolithotomy (PCNL).MethodsFrom February 2016 to June 2018, 58 cases of renal calculi and upper ureteral calculi were treated with PCNL with visual puncture system (All Seeing Needle system). The whole process of PCNL was visualized and punctured accurately into the target calyces. The location of the calculi was determined. The channels F4.8 (42 channels), F12 (5 channels), F16 (12 channels), or F22 (5 channels) were established (including double channels of F4.8 and F16 in 6 cases). The EMS ultrasound pneumatic ballistic lithotripsy or holmium laser lithotripsy was performed.ResultsAll the 58 cases were successfully established by onestage puncture. The average operation time was 36.6 min (range,15-62 min). No complications such as hemorrhage, uremia, renal perforation or collecting system perforation occurred during and after operation. The average hospitalization time was 3.5 days (range,2-7 days). The stone clearance rate was 96.6% (56/58). Two cases had residual calculi > 3 mm in size in lower calyx after operation, which were treated with ESWL lithotripsy.ConclusionVisual puncture system is accurate, safe and reliable with fewer complications. It is very suitable for percutaneous nephrolithotomy.

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备注/Memo

备注/Memo:
*通讯作者，Email:13649988188@163.com
更新日期/Last Update: 2019-12-10