急症输尿管镜下碎石术治疗孤立肾患者输尿管中下段结石临床意义(附13例报告)

Ureteroscopic Lithotripsy for the Lower Ureter Calculi in Emergency Patients with Solitary Kidney(A Report of 13 Cases)

目的探讨急症输尿管镜下碎石治疗孤立肾患者输尿管中下段结石、避免急性肾功能损害的临床意义。方法急症输尿管镜下碎石治疗孤立肾患者输尿管中下段结石13例,其中中段结石4例,下段结石9例,结石长径0.6～1.1cm,平均0.8cm。结果 13例患者均碎石过程顺利,无输尿管穿孔、撕脱等严重并发症发生,术后1周肾功能全部恢复正常,术后1月复查结石全部排净。结论输尿管镜下碎石术治疗孤立肾患者输尿管中下段结石安全、有效,具有碎石彻底、肾功能恢复快等优点,避免了急性尿闭导致严重肾功能损害的发生。

Objective To investigate the treatment of acute URSL for the patients with solitary kidney ureter stones. Methods 13 ureter stones cases in patients with solitary kidney underwent emergency ureteroscopy litho-tripsy,in which 4 cases in the middle of the ureter,and 9 cases in the lower ureter,the diameter of the stones ranged from 0. 6cm to 1. 1cm with the average diameter of 0. 8cm. Results 13 cases were all went smoothly, without serious complications such as ureter perforation occurred. The renal function returned to normal within one week postoperatively. Conclusions Ureteroscopic lithotripsy for the lower ureter calculi in emergency pa-tients with Solitary Kidney was safe and effective.