输尿管软镜处理功能性独肾结石的临床疗效

Efficacy of Flexible Ureterorenoscopy in Treatment of Functional Kidney Stones

目的探讨输尿管软镜处理功能性独肾结石的临床有效性和安全性,评估输尿管软镜在微创性处理功能性独肾结石的应用价值.方法回顾性分析24例采用输尿管软镜钬激光碎石处理功能性独肾结石的患者的临床资料.全部患者中有男性19例,女性5例.肾结石中功能性独肾结石最少的为1颗结石,患者在全身麻醉下,通过术前留置输尿管双J管2周后,用输尿管软镜功能性独肾多发结石.手术结束后常规留置双J管.术后随访1个月,复查CT,KUB和肾功能,评估临床治疗效果.结果全部患者通过1次或者多次手术,手术均顺利完成.22例患者术后结石全部取尽.单次手术时间59~110 min,平均74±19 min.1例发生感染性休克,其他患者均无严重并发症发生,术后结合随访肾功能正常或较术前有改善,术后住院天数2~11 d.结论输尿管软镜处理功能性独肾结石是一种安全有效的方法,能够保护肾功能,具有临床推广应用价值.

Objective To evaluate the clinical efficacy and safety of Flexible ureterorenoscopy in the treatment of functional solitary kindey stones,and evaluate the value of Flexible ureterorenoscopy in minimally invasive treatment of functional solitary kidney stones.Methods The clinical data of 24 patients with functional solitary kidney stones treated with Flexible ureterorenoscopy holmium laser lithotripsy in our hospital were analyzed retrospectively.All patients were 19 males and 5 females.Kidney stones in the function of multiple kidney stones at least one stone.Patients with functional kidney stones,patients under general anesthesia,preoperative indwelling ureter double J tube after 2 weeks,with soft ureteral function of multiple renal calculi.After the end of surgery conventional indwelling double J tube.All patients were followed up for 1 month.CT,KUB and renal function were reviewed and clinical therapeutic effect was evaluated.Results All the patients＇ operations ware completed successfully.No stone rate reached 92 %.A single operation time was from 59 to 110 minutes,with an average of（74±19） minutes.One male patients appeared septic shock,there was no serious complications in other patients,combining with follow-up after renal function.Postoperative renal function of patients was normal or improved than before.Postoperative hospital stay was 2 to 11 days.Conclusions Flexible ureterorenoscopy lithotripsy is a safe and effective method for the treatment of functional solitary kidney stones.It can protect renal function and has clinical application value