可拆卸输尿管软镜钬激光碎石治疗孤立肾结石  

Initial experience in semidisposable flexible ureterorenoscope with holmium laser in the management of solitary renal calculus

作　　者：袁建林[1] 幺立萍[1] 刘飞[1] 杨力军[1] 王福利[1] 张润[1] 杨慧美[1] 田春娟[1] 刘贺亮[1] 张运涛[1] 韩超[1] 

机构地区：[1]第四军医大学西京医院泌尿外科,西安710032

出　　处：《微创泌尿外科杂志》2013年第4期268-270,共3页Journal of Minimally Invasive Urology

基　　金：国家自然科学基金项目资助(81270844)

摘　　要：目的:探讨可拆卸输尿管软镜结合钬激光碎石术治疗孤立肾结石的临床疗效.方法:分析2011 年10 月~2013 年5月,采用输尿管软镜结合钬激光碎石术治疗的16例孤立肾结石患者.对结石清除率、手术时间、手术并发症、结石成分等临床资料进行分析.结果:16例患者中13例(81.3%)成功放置输尿管镜输送鞘,进镜成功率100%.结石寻及率为93.8% (15/16),平均结石大小(2.1±0.8)cm,平均手术时间(85±37)min,平均手术次数1.3次(1~2次),单次手术结石清除率62.5%(10/16),最终结石清除率81.3%(13/16).未出现与碎石相关的严重并发症.结石成分分析显示:以一水草酸钙和一水草酸钙/二水草酸钙混合性结石为主,均为质地较硬结石.结论:可拆卸输尿管软镜碎石术治疗孤立肾结石安全可靠、疗效肯定,值得进一步推广.Objective:To investigate the efficacy of semidisposable flexible ureterorenoscope with holmium laser in the management of solitary kidney stone.Methods:From October 2011 to May 2013,16 patients with solitary kid- ney stones were treated with polyscope with holmium laser.Operation time,stone free rate,mobidity,as well as stone compositions were analyzed.Results:Successful insertion of ureteric access sheath was performed in 13 cases(81.3%),and the polyscopes were successfully accessibility rate of these stones was 93.8%(15/16),the mean op- erative time was(85±37)mins,and with an average of 1.3 procedures per patient.Stone free rate(SFR)were 62.5%(10/16)for single procedure and 81.3%(13/16)for second procedure.No major complications were devel- oped.Calcium oxalate monohydrate and calcium oxalate monohydrate/calcium oxalate dihydrate were the most fre- quently encountered stone compositions in all cases.Conclusions:The semidisposable flexible ureterorenoscope with holmium laser is an effective,reproducible,and minimally traumatic therapeutic technique adapted to diseases of soli- tary kidney stones.

关 键 词：可拆卸输尿管软镜 钬激光 孤立肾 结石 

分 类 号：R692.4[医药卫生—泌尿科学]