中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2015年
8期
875-877
,共3页
陈海潮%邵法明%孙树本%缪起龙
陳海潮%邵法明%孫樹本%繆起龍
진해조%소법명%손수본%무기룡
输尿管镜%激光疗法%肾结石%肾盂%囊肿
輸尿管鏡%激光療法%腎結石%腎盂%囊腫
수뇨관경%격광요법%신결석%신우%낭종
Ureteroscopes%Laser therapy%Kidney pelvis%Kidney calculi%Cysts
目的 探讨输尿管软镜下钬激光治疗肾盂旁囊肿合并肾结石的手术方法、安全性、可行性. 方法 回顾性分析我院2012年11月至2014年11月共收治8例肾盂旁囊肿合并肾结石患者的临床资料,其中男5例,女3例,年龄54～78岁,平均63岁.最大单颗肾结石大小1.2 cm×1.1cm ～1.5 cm×2.0 cm,囊肿大小3.2cm×3.6 cm～5.1 cm×4.2cm,腰部酸胀不适6例,血尿3例,肾盂积水1例,局限性肾盏积水2例,合并高血压3例,泌尿系感染3例.在全麻下行经尿道输尿管软镜钬激光下肾盂旁囊肿内切开引流+肾结石碎石取石术. 结果 8例手术均成功,处理结石及囊肿时间共为52～120 min,平均76 min.术中、术后无大出血、肾周血肿、尿外渗、感染性休克、患肾萎缩等并发症发生,术后随访3～12个月,全部病例无肾结石残留,其中6例囊肿消失,2例囊肿明显缩小,随访期内无复发. 结论 经尿道输尿管软镜下钬激光治疗肾盂旁囊肿合并肾结石具有创伤小、恢复快、术式简单、经济、安全有效等优点.
目的 探討輸尿管軟鏡下鈥激光治療腎盂徬囊腫閤併腎結石的手術方法、安全性、可行性. 方法 迴顧性分析我院2012年11月至2014年11月共收治8例腎盂徬囊腫閤併腎結石患者的臨床資料,其中男5例,女3例,年齡54～78歲,平均63歲.最大單顆腎結石大小1.2 cm×1.1cm ～1.5 cm×2.0 cm,囊腫大小3.2cm×3.6 cm～5.1 cm×4.2cm,腰部痠脹不適6例,血尿3例,腎盂積水1例,跼限性腎盞積水2例,閤併高血壓3例,泌尿繫感染3例.在全痳下行經尿道輸尿管軟鏡鈥激光下腎盂徬囊腫內切開引流+腎結石碎石取石術. 結果 8例手術均成功,處理結石及囊腫時間共為52～120 min,平均76 min.術中、術後無大齣血、腎週血腫、尿外滲、感染性休剋、患腎萎縮等併髮癥髮生,術後隨訪3～12箇月,全部病例無腎結石殘留,其中6例囊腫消失,2例囊腫明顯縮小,隨訪期內無複髮. 結論 經尿道輸尿管軟鏡下鈥激光治療腎盂徬囊腫閤併腎結石具有創傷小、恢複快、術式簡單、經濟、安全有效等優點.
목적 탐토수뇨관연경하화격광치료신우방낭종합병신결석적수술방법、안전성、가행성. 방법 회고성분석아원2012년11월지2014년11월공수치8례신우방낭종합병신결석환자적림상자료,기중남5례,녀3례,년령54～78세,평균63세.최대단과신결석대소1.2 cm×1.1cm ～1.5 cm×2.0 cm,낭종대소3.2cm×3.6 cm～5.1 cm×4.2cm,요부산창불괄6례,혈뇨3례,신우적수1례,국한성신잔적수2례,합병고혈압3례,비뇨계감염3례.재전마하행경뇨도수뇨관연경화격광하신우방낭종내절개인류+신결석쇄석취석술. 결과 8례수술균성공,처리결석급낭종시간공위52～120 min,평균76 min.술중、술후무대출혈、신주혈종、뇨외삼、감염성휴극、환신위축등병발증발생,술후수방3～12개월,전부병례무신결석잔류,기중6례낭종소실,2례낭종명현축소,수방기내무복발. 결론 경뇨도수뇨관연경하화격광치료신우방낭종합병신결석구유창상소、회복쾌、술식간단、경제、안전유효등우점.
Objective To investigate the safety and feasibility of flexible ureteroscope/holmium laser therapy of parapelvic cyst complicating with renal calculi.Methods The clinical data of 8 patients diagnosed as parapelvic cyst with renal calculi and hospitalized in our hospital from Nov.2012 to Nov.2014 were retrospectively analyzed.They were 5 males and 3 females,aged 54 78 years,with an average of 63 years old.The largest kidney calculis were at the size of (1.2 cm× 1.1 cm) to (1.5cm×2.0 cm),and the size of parapelvic cysts ranged between (3.2 cm×3.6 cm) and (5.1 cm×4.2cm).Waist pain was found in 6 patients,hematuria in 3 patients,hydronephrosis in 1 patient,circumscribed hydrocalycosis in 2 patients,hypertension in 3 patients,and infection of urinary tract in 3 patients.Incision and internal drainage of parapelvic cyst and lithotripsy for renal calculi were conducted by flexible ureteroscope/holmium laser under general anesthesia.Results All of the 8 patients had successful operations without any complications such as massive haemorrhage,pararenal hematoma,extravasation of urine,infectious shock and kidney atrophy during or after the operation.The operation time ranged between 52 to 120 minutes,with the average of 76 minutes.All patients showed no residual renal calculus during a follow-up period of 3 to 12 months.Renal cysts were disappeared in 6 patients,and the size of renal cysts was significantly decreased in the other 2 cases.No parapelvic cyst and renal calculus recurred during the follow-up.Conclusions Flexible transurethral ureteroscope/Holmium laser therapy is a good method with the advantages of minimal trauma,quick recovery,simple operation,economic,safety and effectiveness in treating parapelvic cyst complicating with renal calculus.
