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目的探讨头孢曲松相关的上尿路结石的临床诊治。方法回顾性分析15例头孢曲松相关的上尿路结石的临床资料。结果 4例经保守治疗成功,11例经输尿管镜下留置双J管及钬激光碎石成功,回访结石排尽,无结石复发,肾功能恢复好。结论保守治疗和输尿管镜下双J管置入及钬激光碎石是治疗头孢曲松相关的上尿路结石适宜方法,头孢曲松相关的上尿路结石预后良好。
Objective To investigate the clinical diagnosis and treatment of ceftriaxone-related upper urinary tract calculi. Methods The clinical data of 15 patients with upper urinary tract stones related to ceftriaxone were retrospectively analyzed. Results 4 cases were successfully treated conservatively, and 11 cases were successfully treated with double J tube and holmium laser lithotripsy under ureteroscopy. All the stones were drained, stones did not recur and renal function recovered well. Conclusions Conservative treatment and ureteroscopic bi-J tube placement and holmium laser lithotripsy are suitable methods for the treatment of ceftriaxone-associated upper urinary tract stones. Ceftriaxone-related upper urinary tract stones have a good prognosis.