B超引导局部麻醉PCNL在上尿路结石治疗中的应用

摘要

目的：探讨B超引导局部麻醉经皮肾镜取石术（PCNL）在上尿路结石治疗中的安全性和价值。方法：本组60例上尿路结石患者均在B超引导局部麻醉下行PCNL治疗。结果：60例均一期穿刺造瘘成功，54例一期成功行PCNL，6例患者因脓肾改行二期PCNL，总结石清除率为95.0%。手术时间为20~120 min，平均45 min，无严重并发症。结论：B超引导局部麻醉PCNL治疗上尿路结石具有创伤小、并发症少、恢复快、结石清除率高等优点，可作为肾结石或输尿管上段结石的治疗方法。%To evaluate the safety and feasibility of minimally invasive percutaneous nephrolithotomy under the guide of B ultrasound and local anesthesia in treating upper uriny tract calculi.Method:60 patients with renal calculi or ureteral calculus who underwent PCNL were retrospectively analyzed. All 60 cases underwent PCNL with local infiltration anesthesia under the guidance of ultrasound. Result:Among 60 cases,54 cases were stone free after one stage PCNL,6 cases stone free after two stages PCNL for renal pyonephrosis. The total stone free rate was 95.0%. The operative duration was 45 min(20-120 min). No severe complications were observed. Conclusion:PCNL under the guidance of ultrasound and local infiltration anesthesia offers advantages with respect to easy operation,less invasion,less complications,high stone free rate. It is a minimally invasive way in treatment of renal and ureteral calculus.