微创内镜治疗孤立肾结石致急性肾功能不全(附12例报道)

Minimally invasive endoscopic treatment of solitary kidney induced acuterenal failure:A report of 12 cases

目的评价微创经皮肾镜或输尿管镜取石术治疗孤立肾上尿路结石所致急性肾功能不全的临床效果。方法 12例孤立肾肾结石及输尿管结石致急性肾功能不全患者,应用经皮肾镜或输尿管镜取石术。结果手术顺利,平均手术时间30min,术中出血量少,随访3～6个月,患者恢复较好,无并发症存在。结论经皮肾镜及输尿管镜碎石术治疗孤立肾上尿路结石致肾功能不全具有安全、并发症少、术后恢复快,是较为理想的治疗方法,其关键是做好围手术期处理、掌握术中的操作技巧。

Objective To evaluate percutaneous nephrolithotomy or minimally invasive ureteroscopic stone treatment of solitary kidney due to acute upper urinary tract calculi clinical effect of renal insufficiency.Methods Twelve patients with solitary kidney calculi and ureteral calculi in patients with acute renal failure were given percutaneous nephrolithotomy or ureteroscopy lithotomy.Results The operation was successfully.The average operation time was 30 min with less blood loss.Patients were followed up for 3 to 6 Months.The patients recovered well without complications.Conclusion Percutaneous nephrolithotomy and ureteroscopic lithotripsy for solitary kidney with renal insufficiency caused by urinary tract calculi is safe.It has less complications and quicker recovery.Therefore it is an ideal method of treatment.The key is to make good perioperative preparation,and grasp operating skills.