CAJ | 학술논문

目的：肾盂输尿管连接部狭窄可导致继发性肾结石.总结后腹腔镜下肾盂成形及同期取石的治疗经验.方法：回顾性分析既往5年内开展的143例离断性后腹腔镜肾盂成形手术,修剪肾盂后18例患者同期接受了肾结石取出术,其中10例使用腹腔镜抓钳取石、7例使用腔镜下生理盐水灌洗取石、1例使用输尿管软镜取石,评估结石的大小、数量等,术后随访观察肾功能恢复情况.结果：完全结石清除率达72％.1例患者术后接受ES WL 治疗.16例患者术后肾图检查提示GFR 改善,2例患者GF R 无改善,但临床症状改善.结论：腹腔镜肾盂成形及同期取石安全有效,单纯使用腹腔镜抓钳及生理盐水灌洗就能达到满意的结石清除率.
목적：신우수뇨관련접부협착가도치계발성신결석.총결후복강경하신우성형급동기취석적치료경험.방법：회고성분석기왕5년내개전적143례리단성후복강경신우성형수술,수전신우후18례환자동기접수료신결석취출술,기중10례사용복강경조겸취석、7례사용강경하생리염수관세취석、1례사용수뇨관연경취석,평고결석적대소、수량등,술후수방관찰신공능회복정황.결과：완전결석청제솔체72％.1례환자술후접수ES WL 치료.16례환자술후신도검사제시GFR 개선,2례환자GF R 무개선,단림상증상개선.결론：복강경신우성형급동기취석안전유효,단순사용복강경조겸급생리염수관세취능체도만의적결석청제솔.
Objective:Ureteropelvicjunction (UPJ)obstructionandconcomitant renal calculus disease maycoex-ist.Wepresentourexperiencewithsimultaneouslaparoscopicpyeloplastyandpyelolithotomyinsuchpatients.Meth-ods:Eighteen patients underwent retroperitoneal laparoscopic pyeloplasty and concomitant pyelolithotomy at our in-stitution.Aninitial dismemberingofthe UPJ wasfollowedbyremoval ofthecalculi.Stones wereremoved withthe aidoflaparoscopicgrasper,fluidirragationorflexibleureteroscope.Thepyeloplastywassubsequentlyperformedon allcases.Results:Completestoneclearancewaspossiblein13/18patients (72 %).Onepatientunderwentsubsequent extracorporeal shock-wave lithotripsy .Diuretic renography at follow-up revealed i mproved drainage in 16/18 (89 %) patients ;2patientshadanequivocaldrainagepatternbuttheirsymptomsdisappeared.Conclusions:Laparoscopicpy-eloplastywithconcomitantpyeloplastyisfeasibleandeffective.Laparoscopicgrasperandfluidirragationcanachieve satisfactory stone clearance .