經(jīng)皮腎鏡碎石取石術(shù)課件講義

經(jīng)皮腎鏡碎石取石術(shù)單小輝撫寧縣人民醫(yī)院外三科撫寧縣人民醫(yī)隴始于恐者需求止于者滿意經(jīng)皮腎鏡碎石取石術(shù)1經(jīng)皮腎鏡手術(shù)相關(guān)的器械常用的器械包括超聲或ⅹ線設(shè)備、脣髖或普通輸尿管硬鏡、穿刺擴張設(shè)備、碎石石器械、灌注泵和電視監(jiān)視裝置等撫寧縣人民醫(yī)隴始于恐者需求止于者滿意經(jīng)皮腎鏡手術(shù)相關(guān)的器械2腎鏡20.8Fr(wc14Frr撫寧縣人民醫(yī)隴始于恐者需求止于者滿意腎鏡3PCNL的手術(shù)適應(yīng)證和禁忌癥手術(shù)適應(yīng)證(-)結(jié)石放手術(shù)殘留和復(fù)發(fā)腎結(jié)石;有癥狀的盞結(jié)石或憩室內(nèi)結(jié)石③體外沖擊波碎石(ESWL)無法粉碎的結(jié)石及其術(shù)后殘留結(jié)石、嚴重石街(結(jié)合URL處理);④輸尿管上段L4以上梗阻較重的結(jié)石或結(jié)石長徑>1.5cm;撫寧縣人民醫(yī)隴始于恐者需求止于者滿意PCNL的手術(shù)適應(yīng)證和禁忌癥4手術(shù)適應(yīng)證(輸尿管上段結(jié)石息肉包裹或由于腎積水致輸泉管彎曲,ESWL無效或輸尿管鏡手米。呋敗容種梗阻性或不明原因的腎積水手術(shù)后上尿路梗阻,感染積膿腎結(jié)石合并腎盂輸尿管結(jié)合部UP⑨孤立腎合并結(jié)石梗阻;⑩0移植腎合并結(jié)石梗阻;馬蹄腎合并結(jié)石梗阻;糖尿病合并腎結(jié)石(在控制血糖基礎(chǔ)撫寧縣人民醫(yī)隴始于恐者需求止于者滿意手術(shù)適應(yīng)證(5經(jīng)皮腎鏡碎石取石術(shù)課件講義6經(jīng)皮腎鏡碎石取石術(shù)課件講義7經(jīng)皮腎鏡碎石取石術(shù)課件講義8經(jīng)皮腎鏡碎石取石術(shù)課件講義9經(jīng)皮腎鏡碎石取石術(shù)課件講義10經(jīng)皮腎鏡碎石取石術(shù)課件講義11經(jīng)皮腎鏡碎石取石術(shù)課件講義12經(jīng)皮腎鏡碎石取石術(shù)課件講義13經(jīng)皮腎鏡碎石取石術(shù)課件講義14經(jīng)皮腎鏡碎石取石術(shù)課件講義15經(jīng)皮腎鏡碎石取石術(shù)課件講義16經(jīng)皮腎鏡碎石取石術(shù)課件講義17經(jīng)皮腎鏡碎石取石術(shù)課件講義18經(jīng)皮腎鏡碎石取石術(shù)課件講義19經(jīng)皮腎鏡碎石取石術(shù)課件講義20經(jīng)皮腎鏡碎石取石術(shù)課件講義21經(jīng)皮腎鏡碎石取石術(shù)課件講義22經(jīng)皮腎鏡碎石取石術(shù)課件講義23經(jīng)皮腎鏡碎石取石術(shù)課件講義24經(jīng)皮腎鏡碎石取石術(shù)課件講義25經(jīng)皮腎鏡碎石取石術(shù)課件講義26經(jīng)皮腎鏡碎石取石術(shù)課件講義27經(jīng)皮腎鏡碎石取石術(shù)課件講義28經(jīng)皮腎鏡碎石取石術(shù)課件講義29經(jīng)皮腎鏡碎石取石術(shù)課件講義30經(jīng)皮腎鏡碎石取石術(shù)課件講義31經(jīng)皮腎鏡碎石取石術(shù)課件講義32經(jīng)皮腎鏡碎石取石術(shù)課件講義33經(jīng)皮腎鏡碎石取石術(shù)課件講義34經(jīng)皮腎鏡碎石取石術(shù)課件講義35經(jīng)皮腎鏡碎石取石術(shù)課件講義36經(jīng)皮腎鏡碎石取石術(shù)課件講義37經(jīng)皮腎鏡碎石取石術(shù)課件講義38經(jīng)皮腎鏡碎石取石術(shù)課件講義39經(jīng)皮腎鏡碎石取石術(shù)課件講義40經(jīng)皮腎鏡碎石取石