医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
8期
1506-1507,1510
,共3页
郭峰%樊文龙%倪泽称%张宇%艾克拜尔%姜有涛%艾和买提%汪清
郭峰%樊文龍%倪澤稱%張宇%艾剋拜爾%薑有濤%艾和買提%汪清
곽봉%번문룡%예택칭%장우%애극배이%강유도%애화매제%왕청
输尿管镜检查/方法%肾结石/外科学%碎石术/方法%碎石术/仪器和设备%内窥镜检查%治疗结果
輸尿管鏡檢查/方法%腎結石/外科學%碎石術/方法%碎石術/儀器和設備%內窺鏡檢查%治療結果
수뇨관경검사/방법%신결석/외과학%쇄석술/방법%쇄석술/의기화설비%내규경검사%치료결과
Ureteroscopy/MT%Kidney Calculi/SU%Lithotripsy/MT%Lithotripsy/IS%Endoscopy%Treatment Outcome
【目的】探讨多镜联合治疗复杂性肾结石的疗效。【方法】多镜联合治疗复杂性肾结石61例，选择输尿管硬镜联合组合式输尿管软镜碎石35例；单通道经皮肾镜联合组合式输尿管软镜碎石26例。【结果】输尿管硬镜联合组合式输尿管软镜碎石35例结石患者中，碎石成功率97．14％（34/35），结石清除率为83．86％（29/35）。碎石手术时间50～100 min。术后住院2～7 d；单通道经皮肾镜联合组合式输尿管软镜碎石26例患者全部肾盂及主要肾盏结石均顺利击碎并排出，一期清除率为80．77％（21/26），总结石清除率为92．30％（24/26）。碎石手术时间50～140 min。肾造瘘管留置时间5～35 d ，术后住院6～10 d。【结论】多镜联合治疗复杂性肾结石，可提高复杂性肾结石的结石清除率，减小手术创伤，缩短手术时间，降低手术风险及并发症，是复杂性肾结石较好的治疗方法。
【目的】探討多鏡聯閤治療複雜性腎結石的療效。【方法】多鏡聯閤治療複雜性腎結石61例，選擇輸尿管硬鏡聯閤組閤式輸尿管軟鏡碎石35例；單通道經皮腎鏡聯閤組閤式輸尿管軟鏡碎石26例。【結果】輸尿管硬鏡聯閤組閤式輸尿管軟鏡碎石35例結石患者中，碎石成功率97．14％（34/35），結石清除率為83．86％（29/35）。碎石手術時間50～100 min。術後住院2～7 d；單通道經皮腎鏡聯閤組閤式輸尿管軟鏡碎石26例患者全部腎盂及主要腎盞結石均順利擊碎併排齣，一期清除率為80．77％（21/26），總結石清除率為92．30％（24/26）。碎石手術時間50～140 min。腎造瘺管留置時間5～35 d ，術後住院6～10 d。【結論】多鏡聯閤治療複雜性腎結石，可提高複雜性腎結石的結石清除率，減小手術創傷，縮短手術時間，降低手術風險及併髮癥，是複雜性腎結石較好的治療方法。
【목적】탐토다경연합치료복잡성신결석적료효。【방법】다경연합치료복잡성신결석61례，선택수뇨관경경연합조합식수뇨관연경쇄석35례；단통도경피신경연합조합식수뇨관연경쇄석26례。【결과】수뇨관경경연합조합식수뇨관연경쇄석35례결석환자중，쇄석성공솔97．14％（34/35），결석청제솔위83．86％（29/35）。쇄석수술시간50～100 min。술후주원2～7 d；단통도경피신경연합조합식수뇨관연경쇄석26례환자전부신우급주요신잔결석균순리격쇄병배출，일기청제솔위80．77％（21/26），총결석청제솔위92．30％（24/26）。쇄석수술시간50～140 min。신조루관류치시간5～35 d ，술후주원6～10 d。【결론】다경연합치료복잡성신결석，가제고복잡성신결석적결석청제솔，감소수술창상，축단수술시간，강저수술풍험급병발증，시복잡성신결석교호적치료방법。
To explore the efficacy of multiplex-endoscopy combination therapy for complex renal calculi .[Methods]A total of patients with complex renal calculi received multiplex-endoscopy combination thera-py .Among them ,35 patients underwent rigid combined with flexible ureteroscope lithotripsy ,while 26 patients underwent single-channel percutaneous nephroscopy combined with flexible ureteroscope lithotripsy .[Results] In the 35 patients undergoing rigid combined flexible ureteroscope lithotripsy ,the success rate was 97 .14% (34/35) , and the stone free rate was 83 .86% (29/35) ,and the surgery time was 50~100min ,and the length of stay after operation was 2~7 days .In the 26 patients undergoing single-channel percutaneous nephroscope combined with flexible ureteroscope lithotripsy ,all the stones in renal pelvis and many stones in kidney calices were eliminated , and the stone free rate in the first stage was 80 .77% (21/26) ,and the total stone free rate was 92 .30% (24/26) , and the surgery time was 50~140min ,and the indwelling time of nephrostomy tube was 5~35 days and the length of stay after operation was 6~10 days .[Conclusion] Multiplex-endoscopy combination therapy for complex renal calculi can improve the stone free rate ,reduce operation wound ,shorten operation time and decrease operation risk and complications .Therefore ,it is a better treatment method for complex renal calculi .
