[1]王大明 丁德茂 谢栋栋 叶青林 张志强 于德新**.超声引导联合内镜监视建立经皮肾镜工作通道[J].中国微创外科杂志,2021,01(12):1129-1132.
　Wang Daming,Ding Demao,Xie Dongdong,et al.Establishment of Working Tract for Percutaneous Nephrolithotomy Under Ultrasound Guidance Combined With Endoscopic Monitoring[J].Chinese Journal of Minimally Invasive Surgery,2021,01(12):1129-1132.
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超声引导联合内镜监视建立经皮肾镜工作通道()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2021年12期
页码:
1129-1132
栏目:
文献综述
出版日期:
2021-12-25

文章信息/Info

Title:
Establishment of Working Tract for Percutaneous Nephrolithotomy Under Ultrasound Guidance Combined With Endoscopic Monitoring
作者:
王大明 丁德茂 谢栋栋 叶青林 张志强 于德新**
（安徽医科大学第二附属医院泌尿外科，合肥230601）
Author(s):
Wang Daming;  Ding Demao;  Xie Dongdong;  et al.
Department of Urology, Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China
关键词:
超声引导; 内镜监视; 内镜联合肾内手术; 经皮肾镜取石术
Keywords:
Ultrasound guided; Endoscopic monitoring; Endoscopic combined intrarenal surgery; Percutaneous nephrolithotomy
文献标志码:
A
摘要:
目的探讨超声引导联合内镜监视技术建立经皮肾镜工作通道的安全性和有效性。方法2020年5月~2021年7月，对23例复杂性肾结石采用超声引导联合输尿管软镜监视球囊扩张建立经皮肾镜工作通道。结果23例均顺利完成手术，无通道建立失败。单通道22例，双通道1例。24个通道建立时间4~11 min,(7.0±1.7) min。一期结石清除率91.3%（21/23），2例结石残留，其中1例下盏残留结石长径约17 mm，1个月后行超微肾镜碎石取石术，1例下盏残留结石长约5 mm，无需再次手术。术后发生ClavienDindo Ⅰ级、Ⅱ级并发症各2例，无Ⅲ级及以上严重并发症。结论对复杂性肾结石，超声引导联合内镜监视技术建立经皮肾镜工作通道安全、有效，一次成功。
Abstract:
ObjectiveTo explore the safety and effectiveness of ultrasoundguided combined with endoscopic monitoring technology in the establishment of percutaneous nephroscope working tract.MethodsFrom May 2020 to July 2021, 23 cases of complex renal calculi were treated by ultrasoundguided combined with ureteroscopic monitoring balloon dilatation to establish a working tract for percutaneous nephrolithotomy.ResultsThe operation was successfully completed in all the 23 patients, without tract establishment failure. There were 22 cases of single tract and 1 case of double tracts. The mean establishment time of 24 tracts was (70±1.7) min (rang, 4-11 min). The primary stone free rate was 91.3% (21/23). Two cases had residual stones: one patient had residual stones with a length of about 17 mm in the lower calyx, which were completely removed by supermini percutaneous nephrolithotomy after one month; the other patient had residual stones with a length of 5 mm in the lower calyx, which did not need reoperation. The ClavienDindo grade Ⅰ and Ⅱ complications occurred in 2 cases, respectively, and there were no serious complications of grade Ⅲ and above.ConclusionsIn the treatment of complex renal calculi, the application of ultrasoundguided combined with endoscopic monitoring technology to establish the working tract for percutaneous nephrolithotomy is safe and effective. The tract can be successfully established at one time.

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备注/Memo

备注/Memo:
基金项目：安徽高校自然科学研究项目重点项目（KJ2020A0185）**通讯作者，Email：urology_ydx@126.com
更新日期/Last Update: 2022-04-07