肾结石术后残留结石及其防治探讨

A clinical analysis of residual stones after operation of upper urinary tract stone

目的 分析上尿路结石术后残余结石的发病原因 ,降低残石发生率 ,减少手术并发症。方法 分析总结我院在 1975年 8月至 2 0 0 2年 6月对 962例肾脏多发性结石的病例。结果 其中 10 9例残留结石 ,占此类患者的 11 3 %。 10 9例残留结石病例中保守治疗 2 1例 ,采用各种方式治疗痊愈 76例 ,肾切除 12例。结论 严格掌握手术适应征 ,正确选择手术方式 ,合理处理并发症 ,是提高上尿路结石手术治愈率 ,减少手术并发症。

Objective To promote the cure rate of operation and to decrease the operative complications in patients with upper urinary tract stone Methods The data of 962 patients with upper urinary tract stone operatively treated in our department from 1975 to 2002 were reviewed and analyzed Results Residual stones were found in 109 out of 673 patients (11 3 %) Of the 109 cases, conservative treatment, nephrectomy and various methods of treatment were performed in 21, 12 and 76 cases, respectively Conclusion Strict control of operative complication, proper selection of the operation type and reasonable management of the complication are the important measures to improve the cure rate of upper urinary tract stone, to greatly decrease the occurrence of residual stones and to reduce the possibility of nephrectomy