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Results:1 case with complicated pyonephrosis was treated with puncture and canalization;Two-stage operations of mini-PCNL was treated 1 week later.20 cases underwent one-stage PCNL,and were treated with single-access PCNL.The total stone clearance rate in one-stage PCNL was 95.2%;residual stones were seen in 5 case(23.8%),Only 1 case had obviously bleeding in or after operation.The mean time of operation was 2 hours,average hospitalization was 12 days.All were followed for 3-12 minths,1 case had recurrent stones.
结果:21例患者中,并发肾积脓1例,先行经皮肾穿刺造瘘术,1周后行二期mini-PCNL,其余20例均行一期穿刺取石,均为单通道穿刺取石,一期结石清除率95.2%;其中术后5例有残余结石,残余结石发生率为23.8%;术中术后有明显出血1例;手术平均时间2小时;平均住院时间12天;随访3~12个月,1例结石复发。
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We performed cholecystectomy in 10 cases, cholecystectomy and choledochotomy for common bile duct exploration and stone removal and T-tube drainage in 2, partial cholecystectomy in 3, cholecystostomy in 1. Pathological examination showed that it was AGC in all the patients.
该组行胆囊切除术10例,胆囊切除+胆总管切开取石+T管引流术2例,胆囊大部切除术3例,胆囊造瘘术1例,术后病理报告均为急性坏疽性胆囊炎。
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Results: Among 80 cases of ACST, 76 cases were successfully implemented LC, gallbladder puncture and decompression choledocholithotomy T-tube drainage were performed in 11 cases, choledocholithotomy T-tube drainage in 15 cases, common bile duct gall bladder fistula Toishi T-tube drainage in 14 cases, gallbladder removal choledocholithotomy T-tube drainage in 36 cases, operative time 15-120 min, bleeding 10-80 ml; 4 cases transitted laparotomy, 1 case of gallbladder and surrounding tissue adhesion serious, ampulla signs disappear, and the hepatoduodenal ligament ill-defined, 2 cases of gallbladder contraction deep within the liver, gallbladder triangle scar adhesions, and 1 case of duct stone impaction and severe adhesions; postoperative hospital stay was 8-11 d, all were well recovered; pathological diagnosis, acute cholecystitis in 41 cases (51.2%), acute suppurative cholecystitis in 24 cases (30.0%), acute gangrenous cholecystitis in 15 cases (18.8%).
结果:重症急性胆囊炎80例,76例成功实施LC,其中,胆囊穿刺减压胆总管切开取石T管引流11例,胆总管切开取石T管引流15例,胆囊造瘘胆总管切开取石T管引流14例,胆囊切除胆总管切开取石T管引流36例,手术时间15~120 min,术中出血10~85 ml;4例中转开腹,其中,1例胆囊与周围组织粘连严重,壶腹部标志消失,与肝十二指肠韧带界限不清,2例胆囊萎缩深陷肝脏内,胆囊三角区瘢痕粘连,1例胆囊管结石嵌顿且严重粘连,术后住院时间8~11 d,术后恢复均良好,治愈出院;80例术后病理诊断,急性单纯性胆囊炎41例(51.2%),急性化脓性胆囊炎24例(30.0%),急性坏疽性胆囊炎15例(18.8%)。
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The combinative treatments of transcutaneous nephrocentesis,nephrosˉtomy and ureterolithotomy through ureterocystoscope is effective,once ureter stone-street happensafter ESWL-treatˉment.
肾内铸型结石不适合用ESWL治疗;采用经皮肾穿刺造瘘术和输尿管镜取石等综合治疗输尿管石街的方法是有效的。
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ESWL isn't applicable for the patient with kidney casting mold-stone.The combinative treatments of transcutaneous nephrocentesis,nephrosˉtomy and ureterolithotomy through ureterocystoscope is effective,once ureter stone-street happensafter ESWL-treatˉment.
肾内铸型结石不适合用ESWL治疗;采用经皮肾穿刺造瘘术和输尿管镜取石等综合治疗输尿管石街的方法是有效的。
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The complicated ureter stone-streets were cured by trascutaˉneous nephrocentesis and nephrostomy through ureterocystoscope,haemostatic and antibiotic.The12patients hadn't variation of nephrofunction and recurrence of stone for following3-24months.
经皮肾穿刺造瘘术和输尿管镜取石,止血,抗炎等治疗后,排尽石头,随访3 月~2年未见肾功能改变和结石复发。
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objective: to investigate the value of minimally invasive perctaneous nephrolithotony in upper ureteric calculi.
目的:探讨经皮肾微造瘘输尿管肾镜取石术在输尿管上段结石的应用价值。
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The complicated ureter stone-streets were cured by trascutaˉneous nephrocentesis and nephrostomy through ureterocystoscope,haemostatic and antibiotic.The12patients hadn't variation of nephrofunction and recurrence of stone for following3-24months.
经皮肾穿刺造瘘术和输尿管镜取石,止血,抗炎等治疗后,排尽石头,随访3个月~2年未见肾功能改变和结石复发。
- 更多网络解释与造瘘取石术相关的网络解释 [注:此内容来源于网络,仅供参考]
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cystostomy:膀胱造瘘术
膀胱外科解剖Surgical Anatomy of the Bladder 99 | 膀胱造瘘术Cystostomy 102 | 膀胱切开取石术Lithotomy of the Bladder 105
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Anatrophic nephrolithotomy:非萎缩性肾切开取石术
扩大的肾盂切开取石术 extended pyelolithotomy | 非萎缩性肾切开取石术 anatrophic nephrolithotomy | 肾-肾盂造瘘术 nephropyelostomy
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Percutaneous Nephrostomy:经皮肾穿刺造瘘术
腔内泌尿外科手术Endoscopic Urology 253 | 经皮肾穿刺造瘘术Percutaneous Nephrostomy 253 | 经皮肾镜取石术Percutaneous Nephrolithotomy-PCNL 258
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Nephrostomy, operative:肾脏造瘘术(手术)
肾脏固定术:固定式悬挂Nephropexy fixation or suspension | 肾脏造瘘术(手术)Nephrostomy, operative | 肾内取石及肾盂取石术Nephro-pyelolithotomy
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ureterolithotomy:输尿管切开取石术
输尿管松解术 ureterolysis | 输尿管切开取石术 ureterolithotomy | 输尿管造瘘术 ureterostomy
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ureterostomy:输尿管造瘘术
输尿管切开取石术 ureterolithotomy | 输尿管造瘘术 ureterostomy | 输尿管口切开术 ureteral meatotomy