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METHOD FOR PERCUTANEOUS PUNCTURE ACCESS INTO THE RENAL CAVITY SYSTEM IN CASE OF PERCUTANEOUS NEPHROLITHOLAPAXY

机译:在经皮肾的情况下经皮穿刺进入肾腔系统的方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to surgery and urology. Percutaneous puncture access to the renal cavity system is performed in case of percutaneous nephrolitholapaxy. At the same time, the conductor string is installed under ultrasonic and endovideoscopic control. A ureteral drainage is introduced into the renal pyelocaliceal system through one nephrostomy access along the guidewire, which is previously connected to a transparent nephrostomy drainage threaded onto the ureteroscope. Percutaneous nephrolitholapaxy is performed in the position of the patient on the side opposite to the operation. In the postoperative period, the ureteral drainage is removed together with the nephrostomy drainage through the same nephrostomy access.;EFFECT: invention allows increasing the safety of the method by reducing the time of the operation to remove urinary calculi, minimizing anesthetic risks due to the absence of the need to perform the operation with the patient in the prone position and additional cystoscopy under anesthesia in the postoperative period to remove the ureteral drainage, no need for intraoperative X-ray monitoring of the localization of stones kidneys, elimination of harmful effects of X-ray radiation both on the patient and on medical personnel, possibility of direct combined control of urinary calculus and drains using ultrasound and a ureteroscope, as well as increasing efficiency of drainage of the upper urinary tract, excluding the migration of drains in the postoperative period, the method allows simultaneously removing both drains through the same nephrostomy access without anesthesia and the need for additional cystoscopy.;1 cl, 10 dwg, 1 ex
机译:田地:医学。物质:发明涉及医学,即手术和泌尿外科。在经皮肾升的情况下,进行经皮刺破对肾腔系统的进入。同时,导体串在超声波和蓄电图控制下安装。通过沿着导丝的一个肾上沟术进入引入输尿管引入肾性髓细胞系统,该导丝预先连接到透明的肾暴动引流到输尿管镜上。经皮肾脏覆盆子在与操作相反的侧面的位置进行。在术后期间,通过相同的肾坏口术进入将输尿管引流与肾​​坏口引流一起去除。;效果:发明允许通过减少操作的时间来增加方法以消除尿析,最大限度地减少由于原因的尿辨率最小化麻醉风险最小化没有需要在术后时期的麻醉下在易于的位置和额外的膀胱镜检查患者进行操作以消除输尿管引流,无需术中X射线监测石头肾脏的定位,消除了有害影响患者和医学人员X射线辐射,使用超声波和输尿管镜直接组合尿算和排水的可能性,以及上尿路的排水效率,不包括术后排水沟的迁移该方法,该方法允许通过相同的肾坏口术acce同时去除两个漏极没有麻醉,需要额外的膀胱镜检查。; 1 cl,10 dwg,1前

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