泌尿系基质结石内镜碎石治疗的临床研究(附9例病例报告)

Clinical Experience with Endoscopic Lithotripsy for Urinary Matrix Calculi(A Report of 9 Cases)

目的探讨经皮肾镜以及输尿管镜碎石术治疗泌尿系统基质结石的临床效果。方法对2007年12月到2009年12月治疗的9例泌尿系统基质结石患者的临床资料进行回顾性分析。其中,输尿管结石3例,肾结石6例(共7个肾脏)。结果 9例患者中6例肾结石应用经皮肾镜碎石术进行治疗,3例输尿管上段结石应用输尿管镜碎石,所有患者治疗全部成功,并发症包括术中轻度出血、术后轻中度发热以及腰腹部疼痛等。对9例患者进行了平均18.6个月的随访,没有发现基质结石复发的情况。结论经皮肾镜和输尿管镜碎石术治疗泌尿系统基质结石可以取得较好的效果,应当成为一种治疗泌尿系统基质结石的首选治疗措施。

Objective To evaluate the presentation and long - term effcacy of treatment by percutaneous nephrolithotomy and ureteroscopic lithotripsy of matrix stones.Methods The clinical data of 9 patients with urinary matrix calculi treated in our institution between 2007 and 2009 were retrospectively reviewed.Results The matrix components in all patients was successfully treated with percutaneous nephrolithotomy and ureteroscopic lithotripsy without complications.None of these 9 patients had recurrence of matrix stones after a mean follow -up of 18.6 months.The main risk factors for matrix stones were minimal blood loss,urinary tract infections and renal insufficiency.Conclusion Percutaneous nephrolithotomy and ureteroscopic lithotripsy for urinary matrix calculi can obtain good results,both of them should be the first choice for urinary matrix calculi.