CAJ | 학술논문

目的：探讨输尿管硬镜治疗肾盂结石的临床疗效、病例选择及操作技巧。方法：2011年5月-2014年4月收治采用逆行输尿管硬镜碎石术治疗肾盂结石患者42例，对其临床资料进行回顾性分析。结果：输尿管硬镜碎石术治疗肾盂结石42例，手术均成功完成，术后结石一期清除31例，术后残石结合体外碎石7例，再次输尿管镜碎石4例。术后发热2例，术后肾绞痛1例，未出现严重并发症。结论：输尿管硬镜碎石术治疗肾盂结石如病例选择恰当是一种安全、有效的治疗方法，具有创伤小、住院周期短、操作简单、费用低廉、并发症少等优点。
목적：탐토수뇨관경경치료신우결석적림상료효、병례선택급조작기교。방법：2011년5월-2014년4월수치채용역행수뇨관경경쇄석술치료신우결석환자42례，대기림상자료진행회고성분석。결과：수뇨관경경쇄석술치료신우결석42례，수술균성공완성，술후결석일기청제31례，술후잔석결합체외쇄석7례，재차수뇨관경쇄석4례。술후발열2례，술후신교통1례，미출현엄중병발증。결론：수뇨관경경쇄석술치료신우결석여병례선택흡당시일충안전、유효적치료방법，구유창상소、주원주기단、조작간단、비용저렴、병발증소등우점。
Objective:To investigate the clinical efficacy,case selection and operation skills of ureteroscopic lithotripsy in the treatment of renal calculi.Methods: 42 patients with renal calculi who were treated with retrograde ureteroscopic lithotripsy were selected from May 2011 to April 2014.We retrospectively analyzed the clinical datas of them.Results:In 42 cases of ureteroscopic lithotripsy for the treatment of renal pelvic stones,and operations were successfully completed.After a period of stone removal in 31 cases,7 cases of residual stones with extracorporeal lithotripsy after operation,4 cases of ureteroscopic lithotripsy again.2 cases of postoperative fever,postoperative renal colic in 1 cases and no serious complications.Conclusion:Ureteroscopic lithotripsy for the treatment of renal pelvic stones such as appropriate patient selection is a safe and effective treatment method.It has the advantages of little trauma,short period in hospital,simple operation,low cost and less complications.