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目的分析输尿管硬镜下同期治疗双侧上尿路结石的安全性,为临床提供指导。方法选择2012年12月-2016年12月接受输尿管硬镜下同期治疗的双侧输尿管中下段结石患者40例,分析其手术时间、术中出血量、住院时间、血肌酐、结石清除率及并发症。结果 40例患者手术时间为(96.58±22.32)min,术中出血量为(18.00±2.50)ml,住院时间为(3.26±0.28)d。术前、术后血肌酐比较差异无统计学意义(P>0.05)。一期手术结石清石率为82.50%(33/40),二期手术结石清石率为92.50%(37/40)。术后发生并发症7例,经对症治疗病情均得到控制。结论对双侧输尿管中下段结石患者采取输尿管硬镜下同期治疗切实可行,无严重并发症,对肾功能无显著影响,安全性较高。
Objective To analyze the safety of concurrent ureteral calculi in treatment of bilateral upper urinary tract stones and provide guidance for clinical treatment. Methods Forty patients with bilateral ureteral calculi in the middle and lower ureter during the treatment of ureteral calculi during December 2012 to December 2016 were selected. The operative time, intraoperative blood loss, hospital stay, serum creatinine, stone clearance rate and complications disease. Results The operation time of the 40 patients was (96.58 ± 22.32) min, the blood loss was (18.00 ± 2.50) ml and the hospitalization time was (3.26 ± 0.28) d. Preoperative and postoperative serum creatinine was no significant difference (P> 0.05). The rate of clear stone in the first operation was 82.50% (33/40), the rate of clear operation in the second operation was 92.50% (37/40). Postoperative complications occurred in 7 cases, the symptomatic treatment of disease were under control. Conclusion The ureteral calculi in patients with bilateral lower ureteral calculi underwent simultaneous treatment with ureteral calculi was feasible, no serious complications, no significant effect on renal function, safety is high.