微创泌尿外科杂志
微創泌尿外科雜誌
미창비뇨외과잡지
JOURNAL OF MINIMALLY INVASIVE UROLOGY
2014年
5期
296-298
,共3页
王锐%宋超%廖文彪%刘凌琪%杨嗣星
王銳%宋超%廖文彪%劉凌琪%楊嗣星
왕예%송초%료문표%류릉기%양사성
电子输尿管软镜%肾结石%孤立肾
電子輸尿管軟鏡%腎結石%孤立腎
전자수뇨관연경%신결석%고립신
electronic fexible ureteroscopy%renal stones%solitary kidney
目的::探讨电子输尿管软镜钬激光碎石术治疗孤立肾肾结石的临床疗效.方法:回顾性分析2012年3月~2014年8月应用电子输尿管软镜治疗12例孤立肾结石患者临床资料,男5例,女7例,年龄21~73岁,平均64岁.7例为功能性孤立肾,5例为单侧肾切除术后.所有患者均行泌尿系CTU检查以明确结石大小及位置,术前常规行尿常规、尿培养及血肌酐检查,尿培养阳性者使用敏感抗生素治疗3天.所有患者术前均预置F7双J管2周作输尿管被动扩张.分析手术时间、清石率、并发症以及血清肌酐的变化.结果:12例患者结石大小为1.6~3.2 cm,平均(2.1±0.6)cm,术前肌酐92~178μmol/L,平均(141.90±27.9)μmol/L;手术时间40~200 min,平均117 min,一期结石清除率达83.3%(10/12).2例诊断为全身炎症反应综合征,1例为尿脓毒血症,其中1例出现明显尿量减少,患者经积极治疗后,生命体征逐渐平稳,痊愈出院.术后随访1个月,肌酐为69~182μmol/L,平均(109.8±25.2)μmol/L,与术前比较差异有统计学意义(P<0.05).结论:电子输尿管软镜图像清晰,治疗孤立肾结石安全高效,值得推广.
目的::探討電子輸尿管軟鏡鈥激光碎石術治療孤立腎腎結石的臨床療效.方法:迴顧性分析2012年3月~2014年8月應用電子輸尿管軟鏡治療12例孤立腎結石患者臨床資料,男5例,女7例,年齡21~73歲,平均64歲.7例為功能性孤立腎,5例為單側腎切除術後.所有患者均行泌尿繫CTU檢查以明確結石大小及位置,術前常規行尿常規、尿培養及血肌酐檢查,尿培養暘性者使用敏感抗生素治療3天.所有患者術前均預置F7雙J管2週作輸尿管被動擴張.分析手術時間、清石率、併髮癥以及血清肌酐的變化.結果:12例患者結石大小為1.6~3.2 cm,平均(2.1±0.6)cm,術前肌酐92~178μmol/L,平均(141.90±27.9)μmol/L;手術時間40~200 min,平均117 min,一期結石清除率達83.3%(10/12).2例診斷為全身炎癥反應綜閤徵,1例為尿膿毒血癥,其中1例齣現明顯尿量減少,患者經積極治療後,生命體徵逐漸平穩,痊愈齣院.術後隨訪1箇月,肌酐為69~182μmol/L,平均(109.8±25.2)μmol/L,與術前比較差異有統計學意義(P<0.05).結論:電子輸尿管軟鏡圖像清晰,治療孤立腎結石安全高效,值得推廣.
목적::탐토전자수뇨관연경화격광쇄석술치료고립신신결석적림상료효.방법:회고성분석2012년3월~2014년8월응용전자수뇨관연경치료12례고립신결석환자림상자료,남5례,녀7례,년령21~73세,평균64세.7례위공능성고립신,5례위단측신절제술후.소유환자균행비뇨계CTU검사이명학결석대소급위치,술전상규행뇨상규、뇨배양급혈기항검사,뇨배양양성자사용민감항생소치료3천.소유환자술전균예치F7쌍J관2주작수뇨관피동확장.분석수술시간、청석솔、병발증이급혈청기항적변화.결과:12례환자결석대소위1.6~3.2 cm,평균(2.1±0.6)cm,술전기항92~178μmol/L,평균(141.90±27.9)μmol/L;수술시간40~200 min,평균117 min,일기결석청제솔체83.3%(10/12).2례진단위전신염증반응종합정,1례위뇨농독혈증,기중1례출현명현뇨량감소,환자경적겁치료후,생명체정축점평은,전유출원.술후수방1개월,기항위69~182μmol/L,평균(109.8±25.2)μmol/L,여술전비교차이유통계학의의(P<0.05).결론:전자수뇨관연경도상청석,치료고립신결석안전고효,치득추엄.
Objective:To evaluate the efficacy of electronic fexible ureteroscopy holmium laser lithotripsy in trea-ting renal stones in a solitary kidney.Methods:From March 2012 to August 2014,12 patients with a solitary kidney underwent electronic fexible ureteroscopy holmium laser lithotripsy.All patients received computed tomography to understand the location and size of the stones preoperatively.Preoperative urine culture were done and positive pa-tients were treated by sensitive antibiotics for three days.F7 double-J tube were inserted in all patients to dilate the u-reter for 2 weeks preoperatively.Factors such as operation duration,complications and stone-free rate (SFR)were analysed.Results:The mean age was 64 years (range,21-73 years).The mean stone size was (2.1±0.6)cm (range 1.6-3.2 cm).The mean operation time was 117 min (range 40-200 min).The SFRs was 83.3%.Systemic Inflam-matory response syndrome and urosepsis were respectively recorded in one patient and cured after active treatment. After one month follow-up,the preoperative and postoperative serum creatinine had statistical difference (P<0.05).Conclusions:Electronic fURS holmium laser lithotripsy is an effective and safe procedure with a high SFR and a lower rate of complication in treating renal stones in a solitary kidney.