摘要
目的:探讨输尿管软镜钬激光碎石术(flexible ureteroscopy combined holmium laser lithotripsy,f-URS)治疗特殊类型肾结石的有效性和安全性。方法:回顾分析我院2014年1月至2015年8月收治的经f-URS治疗的22例特殊类型肾结石患者,包括过度肥胖2例,脊柱侧弯1例,盆腔异位肾1例,不完全输尿管畸形2例,肾盏憩室5例,独肾10例,马蹄肾2例。结石单发12例,多发10例。结石平均大小为(1.50±0.82)cm。术前10例尿常规白细胞计数>500个/μL,6例合并肾功能不全。结果:21例术中成功探及结石并粉碎,1例马蹄肾患者术中软镜无法粉碎到全部结石。平均碎石次数1.3次,平均手术时间(66±24)min,平均术后住院时间(1.73±1.15)d。1例术后发热,静脉应用抗生素后治愈。术后4周复查3例结石残留,肾功能不全均有改善。结论:输尿管软镜钬激光碎石术治疗特殊类型肾结石有效、安全。
Objective:To evaluate the effectiveness and safety of flexible ureteroscopy combined holmium laser lithotripsy(f-URS)in the treatment of special renal calculi. Methods:A total of 22 special patients with renal calculi who were treated by f-URS from January 2014 to August 2015 were reviewed,including 2 cases of obesity,1 case of scoliosis,1 case of renal pelvic ectopia,2 cases of incomplete ureteral duplication,5 cases of calyceal diverticulum,10 cases of isolated kidney and 2 cases of horseshoe kidney. Twelve patients were single stone and 10 patients were multiple stones. Average stone size was(1.50±0.82)cm. Ten patients had a urinary leukocyte count of 500 cells/μL in routine urinalysis and 6 patients had renal insufficiency before f-URS. Results:All stones were detected and smashed successfully in 21 patients but a bit of stones can not be detected in one patient with horseshoe kidney. The average operation number,time and postoperative hospital days were 1.3 times,(66±24)min and(1.73±1.15)days,respectively.One patient had a fever after f-URS and was cured by intravenous antibiotics therapy. Three patients were not stone free and patients with renal insufficiency had renal function improved. Conclusion:f-URS is an effective and safe choice for special renal calculi.
作者
陈明龙
史晓博
唐伟
Chen Minglong Shi Xiaobo Tang Wei(Department of Urology, The First Affiliated Hospital of Chongqing Medical Universit)
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2016年第12期1288-1291,共4页
Journal of Chongqing Medical University
关键词
输尿管软镜
钬激光
结石
特殊
flexible ureteroscopy
holmium laser
calculi
special