经皮肾穿刺辅助输尿管软镜治疗肾盏憩室结石的临床价值

doi:10.19558/j.cnki.10-1020/r.2018.02.006

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摘要 目的:探讨输尿管软镜结合经皮肾穿治疗肾盏憩室结石的临床价值。方法:回顾性分析2011年6月~2015年6月采用输尿管软镜结合经皮肾穿刺治疗肾盏憩室结石的21例患者的临床资料,观察手术结果及并发症情况。结果:全部21例患者中,13例行输尿管软镜联合钬激光碎石术,8例行输尿管软镜结合经皮肾穿钬激光碎石术,其中1例失败行经皮肾镜钬激光碎石术。21例患者术后均未出现大出血或邻近器官损伤等并发症。结论:合理利用输尿管软镜联合经皮肾镜仔细操作,可实现肾盏憩室结石的微创治疗。

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	李旭明
	郭闯
	张力
	程宗勇
	程洪林

关键词 ：输尿管软镜, 钬激光, 肾盏憩室结石, 临床价值

Abstract：Objective:To investigate the clinical value of percutaneous nephrolithotomy-assisted flexible ureteroscopyin the treatment of renal calyceal diverticulum calculi. Methods:The clinical data of 21 patients with renal calyceal diverticulum calculi treated by percutaneous nephrolithotomy-assisted flexible ureteroscopyin our hospital from June 2011 to June 2015 were retrospectively analyzed. The surgical results and complications were observed. Results:Of all 21 patients, 13 patients were given flexible ureteroscope holmium laser lithotripsy, and 8 patientspercutaneous nephrolithotomy-assisted flexible ureteroscopy. One case failed and transfered to Holmium∶YAG laser lithotripsy. No postoperative complications such as bleeding or injury to adjacent organs occurred in all 21 patients. Conclusions:The rational use of percutaneous nephrolithotomy-assisted flexible ureteroscopycan achieve minimally invasive treatment of renal calyceal diverticulum calculi.

Key words： flexible ureterorenoscopy holmium laser percutaneous nephrolithotomy renal calyceal diverticulum calculi clinical value

收稿日期: 2017-10-09

ZTFLH:

R692

基金资助:重庆市长寿区科技计划项目(KJXM201204)

通讯作者: 张力,1149653882@qq.com

引用本文:

李旭明, 郭闯, 张力, 程宗勇, 程洪林. 经皮肾穿刺辅助输尿管软镜治疗肾盏憩室结石的临床价值[J]. 微创泌尿外科杂志, 2018, 7(2): 97-100.
Li Xumin, Guo Chuang, Zhang Li, Chen Zongyong, Chen Honglin. Clinical value of percutaneous nephrolithotomy-assisted flexible ureteroscopy in the treatment of renal calyceal diverticulum calculi. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(2): 97-100.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1350.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2018/V7/I2/97

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