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目的:探讨输尿管软镜碎石术治疗孤立肾肾结石的疗效及安全性。方法:回顾性分析2013年10月至2015年12月采用输尿管软镜钬激光碎石术治疗30例孤立肾肾结石患者的临床资料。其中对侧肾切除所致孤立肾16例,对侧肾萎缩无功能致功能性孤立肾14例。结果:一次性进镜成功率96.7%(29/30),结石寻及率为93.3%(28/30),一次性结石清除率为76.7%(23/30)。术后24 h血肌酐无明显变化。术后发热病人3例,经抗感染治疗后好转。术后肾周血肿1例,经止血、抗感染治疗后好转。术后石街形成1例,经输尿管硬镜手术后好转。无严重感染及严重出血等严重并发症发生。结论:对合适的病例及有经验的医师而言,输尿管软镜碎石术治疗孤立肾合并肾结石是安全有效的。
Objective: To investigate the efficacy and safety of ureteroscopic lithotripsy in the treatment of solitary kidney stone. Methods: The clinical data of 30 patients with solitary kidney nephrolithotomy treated by ureteroscopic holmium laser lithotripsy from October 2013 to December 2015 were retrospectively analyzed. Among them, 16 cases of isolated kidney caused by contralateral nephrectomy and 14 cases of isolated or isolated kidney caused contralateral renal atrophy. Results: The success rate of one-time enteroscope was 96.7% (29/30), the rate of stone finding was 93.3% (28/30) and the rate of disposable stone was 76.7% (23/30). Serum creatinine had no significant change 24 h after operation. Postoperative fever in 3 patients, after anti-infective treatment improved. Postoperative peritoneal hematoma in 1 case, after hemostasis, anti-infection improved after treatment. Stone street after the formation of 1 case, after ureteral surgery improved. No serious infection and severe bleeding and other serious complications. Conclusions: Ureteroscopic soft lithotripsy is safe and effective for the treatment of isolated kidney and kidney stones in both the right and the experienced physicians.