经皮肾镜取石术前人工肾积水治疗无积水肾结石效果
Acta Aacademiae Medicinae Qingdao Universitatis（2013）
Abstract
目的 探讨经皮肾镜取石术(PCNL)术前置人输尿管支架管(D-J管),膀胱注水加压制造人工肾积水治疗无积水肾结石的有效性和可行性.方法 无积水肾结石病人58例,术前患侧置入输尿管D-J管,尿道留置Foley三腔尿管,膀胱注水加压制造人工肾积水.超声引导下穿刺成功后开放尿管降低膀胱内压.结果 58例无积水肾结石病人均穿刺成功,取石顺利.结论 PCNL术前置入输尿管D-J管膀胱注水加压制造人工肾积水可降低肾穿刺难度,尤其适用于无积水肾结石者.
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