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目的:观察输尿管软镜技术在治疗体外碎石失败的飞行员肾脏小结石中的效果。方法:回顾分析2009年10月~2015年9月采用体外冲击波碎石(ESWL)治疗失败后进行输尿管软镜手术的26例单侧肾脏小结石飞行人员病例资料。结果:所有患者均为男性,年龄22~48岁。术前CT提示肾脏小结石,左肾11例,右肾15例,结石长径0.2~0.8cm,其中12例患者镜下发现结石,采用激光光纤将肾脏小结石击碎,部分结石碎片采用套石网篮取出,部分结石碎屑术后经尿路自行排出;14例患者镜下确诊肾乳头黏膜下钙化,未予特殊处理。术后随访6~24个月,肾乳头钙化斑较术前未见明显变化。结论:对于体外碎石治疗失败的飞行员上尿路结石,输尿管软镜手术是安全有效的治疗手段。
Objective: To observe the effect of ureteroscopy in the treatment of small calculus of the kidneys in pilots with failed gravel. Methods: A retrospective analysis of 26 unilateral renal small caliber aircrew cases undergoing ureteroscopic soft lens surgery after ESWL treatment from October 2009 to September 2015 was retrospectively reviewed. Results: All patients were male, aged 22 to 48 years. Preoperative CT prompted small renal calculi, left kidney in 11 cases, right kidney in 15 cases, long diameter of stones 0.2 ~ 0.8cm, of which 12 patients found stones under the microscope, the use of laser fiber crushed kidney stones, some stone fragments using sets Stone basket removed, some of the stone debris discharged via the urinary tract after surgery; 14 cases of microscopic diagnosis of renal papilla submucosal calcification, no special treatment. After 6 to 24 months of follow-up, there was no significant change in calcified plaque of renal papilla compared with that before operation. Conclusion: Ureteroscopic soft-lens surgery is a safe and effective treatment for upper urinary tract calculi of pilots who have failed lithotripsy.