[标准经皮肾镜和超微型经皮肾镜在肾结石治疗中的应用]。

Klinichna khirurgiia Pub Date : 2017-01-01
V M Lisovyi, V I Savenkov, A V Maltsev, D A Levchenko
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引用次数: 0

摘要

对45例肾结石患者行两种不同的经皮肾镜碎石术(TCNLT)进行比较分析。17例患者(第一组)使用试管11Сh进行了超迷你(UM) TCNLT, 28例患者(第二组)使用标准试管24Сh进行了TCNLT。第一组手术时间平均为(86.2±16.3)分钟,第二组手术时间平均为(51±13.6)分钟。UМ TCNLT是一种安全、微创的方法,与标准手术相比,发病率低,但疗效相同,当结石直径达2sm时,患者的“无结石”状态(相应为95.3和96.5%)。Тubus 11Ch保证出血并发症发生的风险较小,允许更自信地在不肾造口引流肾盏和骨盆系统的情况下进行UM TCNLT。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[STANDARD TRANSCUTANEOUS AND ULTRA-MINI TRANSCUTANEOUS NEPHROLITHOTRIPSY IN TREATMENT OF NEPHROLITHIASIS].

Comparative analysis of two variants of transcutaneous nephrolithotripsy (TCNLT) in 45 patients, suffering nephrolithiasis, was performed. In 17 patients (the first group) the ultra-mini (UM) TCNLT, using tubus 11Сh, was done, and in 28 patients (the second group) – TCNLT, using a standard tubus 24Сh. The operation duration in the first group have had constituted (86.2 ± 16.3) min at average, and in the second group – (51 ± 13.6) min. The method of UМ TCNLT is a secure, miniinvasive, owing low rate of morbidity, comparing with a standard procedure, but with equal efficacy, concerning the «stone free» status (accordingly, 95.3 and 96.5%) in patients when calculi’s diameter up to 2 sm. Тubus 11Ch guarantees lesser risk of hemorrhagic complications occurrence, permits to conduct UM TCNLT without nephrostomic draining of the renal calyx and pelvis system more confidently.

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