CAJ | 학술논문

目的探讨尿流改道术后尿路结石的治疗方法.方法选取20例既往因膀胱癌接受尿流改道的尿路结石患者(肾结石6例,输尿管结石5例,储尿囊结石9例),接受个性化的治疗:其中经皮肾取石术8例,经皮肾顺行输尿管软镜碎石术3例,储尿囊流出道入路手术5例,经皮膀胱穿刺人路手术3例,开放取石1例.结果手术时间60～130min,平均104min；术后结石清除率90％(18/20)；术后发热4例(20％o),其中l例经皮肾镜技术(PCNL)术后液胸,行胸腔闭式引流.结论针对尿流改道术后的尿路结石患者,采取个性化治疗方案,能够有效的清除尿路结石.
목적 탐토뇨류개도술후뇨로결석적치료방법.방법 선취20례기왕인방광암접수뇨류개도적뇨로결석환자(신결석6례,수뇨관결석5례,저뇨낭결석9례),접수개성화적치료:기중경피신취석술8례,경피신순행수뇨관연경쇄석술3례,저뇨낭류출도입로수술5례,경피방광천자인로수술3례,개방취석1례.결과 수술시간60～130min,평균104min；술후결석청제솔90％(18/20)；술후발열4례(20％o),기중l례경피신경기술(PCNL)술후액흉,행흉강폐식인류.결론 침대뇨류개도술후적뇨로결석환자,채취개성화치료방안,능구유효적청제뇨로결석.
Objectives To evaluate the treatment of urinary tract stone in patients with urinary diversion.Methods Materials and methods 20 cases of patients with urinary tract stone after urinary diversion due to bladder cancer (renal stone in 6 cases,ureteral calculi in 5 cases,urinary reservoir stones in 9 cases),receive personalized treatment.Percutaneous nephrolithotomy in 8 cases,percutaneous approach with antegrade flexible ureteroscopic lithotripsy in 3 cases,urinary reservoir outflow tract approach in 5 cases,percutaneous bladder puncture approach in 3 cases,open operation in one case.Results The operation time was 60-130 minutes,with an average of 104 minutes.Clearance rate was 90％ (18/20).Postoperative fever was noted in 4 cases (20％),liquid pneumothorax was noted in 1 case following PCNL,and received closed thoracic drainage.Conclusions According to the different condition,a personalized treatment program can effectively remove urinary tract stones.