经皮肾镜通道丢失处理10例报道
Percutaneous nephroscopic channel loss treatment:report of 10 cases
李奔 1宋甲 2王敏 2李明康 2夏凌扬2
作者信息
- 1. 阜南县中医院泌尿外科,阜南 236300;颍上县中医院泌尿外科,颍上 236200
- 2. 颍上县中医院泌尿外科,颍上 236200
- 折叠
摘要
本文总结了10例行经皮肾镜碎石取石术(PCNL)中通道丢失后再次建立原通道的技巧,其中9例通过镜下仔细认真辨认肾实质穿刺所致裂口,将斑马导丝沿裂口放入肾集合系统,镜体在导丝引导下进入集合系统,通道再次顺利建立.1例通过钬激光打开肾盂黏膜显露结石,放入导丝完成手术.术中术后均未出现严重出血、感染其他脏器损伤等并发症.
Abstract
In this paper,the techniques of re-establishing the original channel after channel loss in 10 percutane-ous nephrolithotomy(PCNL)were summarized.In 9 cases,zebra guide wire was carefully identified through the tear caused by renal parenchyma puncture under the microscope,and zebra guide wire was inserted into the renal collec-tion system along the tear,and the channel was successfully established.In 1 case,the renal pelvis mucosa was opened by holmium laser to reveal the stone,and the guide wire was inserted to complete the operation.There were no complications such as severe bleeding,infection and other organ damage during and after operation.
关键词
肾结石/肾镜取石术,经皮/通道丢失Key words
kidney calculi/nephrolithotomy,percutaneous/loss of renal access引用本文复制引用
出版年
2024
NETL
NSTL
万方数据