注册 登录 联系我们  
微创泌尿外科杂志  2014, Vol. 3 Issue (5): 296-298    
  论著 本期目录 | 过刊浏览 | 高级检索 |
电子输尿管软镜钬激光碎石治疗孤立肾结石疗效分析
王锐1,宋超1,廖文彪1,刘凌琪1,杨嗣星1
1武汉大学人民医院泌尿外科 430060 武汉
Efficacy of electronic fexible ureteroscopy holmium laser lithotripsy in treating renal stones in a solitary kidney
Wang Rui1,Song Chao1,Liao Wenbiao1,Liu Lingqi1,Yang Sixing1
1Department of Urology, Renmin Hospital of Wuhan University, Wuhan, 430060, China
全文: PDF (662 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的:探讨电子输尿管软镜钬激光碎石术治疗孤立肾肾结石的临床疗效。方法:回顾性分析2012年3月~2014年8月应用电子输尿管软镜治疗12例孤立肾结石患者临床资料,男5例,女7例,年龄21~73岁,平均64岁。7例为功能性孤立肾,5例为单侧肾切除术后。所有患者均行泌尿系CTU检查以明确结石大小及位置,术前常规行尿常规、尿培养及血肌酐检查,尿培养阳性者使用敏感抗生素治疗3天。所有患者术前均预置F7双J管2周作输尿管被动扩张。分析手术时间、清石率、并发症以及血清肌酐的变化。结果:12例患者结石大小为1.6~3.2 cm,平均(2.1±0.6)cm,术前肌酐92~178 μmol/L,平均(141.90±27.9)μmol/L;手术时间40~200 min,平均117 min,一期结石清除率达83.3%(10/12)。2例诊断为全身炎症反应综合征,1例为尿脓毒血症,其中1例出现明显尿量减少,患者经积极治疗后,生命体征逐渐平稳,痊愈出院。术后随访1个月,肌酐为69~182 μmol/L,平均(109.8±25.2)μmol/L,与术前比较差异有统计学意义(P<0.05)。结论:电子输尿管软镜图像清晰,治疗孤立肾结石安全高效,值得推广。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
王锐
宋超
廖文彪
刘凌琪
杨嗣星
关键词 电子输尿管软镜肾结石孤立肾    
AbstractObjective: To evaluate the efficacy of electronic fexible ureteroscopy holmium laser lithotripsy in treating renal stones in a solitary kidney. Methods: From March 2012 to August 2014, 12 patients with a solitary kidney underwent electronic fexible ureteroscopy holmium laser lithotripsy. All patients received computed tomography to understand the location and size of the stones preoperatively. Preoperative urine culture were done and positive patients were treated by sensitive antibiotics for three days. F7 double-J tube were inserted in all patients to dilate the ureter for 2 weeks preoperatively. Factors such as operation duration, complications and stone-free rate (SFR) were analysed. Results: The mean age was 64 years (range, 21-73 years). The mean stone size was (2.1±0.6)cm (range 1.6-3.2 cm). The mean operation time was 117 min (range 40-200 min). The SFRs was 83.3%. Systemic Inflammatory response syndrome and urosepsis were respectively recorded in one patient and cured after active treatment. After one month follow-up, the preoperative and postoperative serum creatinine had statistical difference (P< 0.05). Conclusions: Electronic fURS holmium laser lithotripsy is an effective and safe procedure with a high SFR and a lower rate of complication in treating renal stones in a solitary kidney.
Key wordselectronic fexible ureteroscopy    renal stones    solitary kidney
收稿日期: 2014-09-10     
ZTFLH:  R692.4  
通讯作者: 杨嗣星,sxyang2004@163.com   
引用本文:   
王锐,宋超,廖文彪,刘凌琪,杨嗣星. 电子输尿管软镜钬激光碎石治疗孤立肾结石疗效分析[J]. 微创泌尿外科杂志, 2014, 3(5): 296-298.
Wang Rui,Song Chao,Liao Wenbiao,Liu Lingqi,Yang Sixing. Efficacy of electronic fexible ureteroscopy holmium laser lithotripsy in treating renal stones in a solitary kidney. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(5): 296-298.
链接本文:  
http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract867.shtml     或     http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2014/V3/I5/296
京ICP备14007602 版权所有 © 微创泌尿外科杂志 地址:北京市复兴路28号 邮编:100853
本系统由北京玛格泰克科技发展有限公司设计开发 技术支持:support@magtech.com.cn