侧卧斜仰截石位行多镜联合治疗复杂性上尿路结石的临床探讨  

Clinical study on the treatment of complicated upper urinary tract calculus by multiplex endoscopy under a single position of lateral oblique lithotomy position

作　　者：盛明雄[1] 王德娟[2] 黄文涛[2] 雷华[2] 邱剑光[2] 

机构地区：[1]福建医科大学附属闽东医院泌尿外科,福建福安355000 [2]中山大学附属第三医院泌尿外科

出　　处：《临床泌尿外科杂志》2012年第9期691-693,共3页Journal of Clinical Urology

摘　　要：目的:探讨侧卧斜仰截石位单一体位使用输尿管镜、肾镜和腹腔镜治疗复杂性上尿路结石的有效性和安全性。方法:2010年7月～2011年7月对36例肾结石合并肾旋转不良、肾囊肿、同侧或对侧输尿管结石患者取侧卧斜仰截石位行多镜联合治疗。结果:36例均顺利完成手术,术后均未出现出血和感染等并发症。经KUB复查,一期手术肾结石清除率77.8%,输尿管结石清除率100%。术后住院4～9d(平均6d)。结论:侧卧斜仰截石位使用输尿管镜、肾镜和腹腔镜能更有效地处理各种复杂性上尿路结石。Objective：To assess the efficacy and safety of the treatment of complicated upper urinary tract calculus by combining ureteroscopy,Percutaneous nephrolithotomy and laparoseopy under a single position of lateral oblique lithotomy position. Metbod..From July 2010 to July 2011,36 patients with renal calculus,complicaled with renal malrotation, renal cyst, homonymy or opposite ureter calculus,were treated hy multiplex endoscopy under a single position of lateral oblique lithotomy position. Clinical data were retrospectively analyzed. Result.. All patients were successfully operated. No case was punctured failurely. No case was converted to open operation. There were no complications of bleeding or infection. Calculus clearance rate of renal calculus was 77. 8%,Calculus clearance rate of ureter calculus was 100%. The hospitalization days were 4-9 days. Conclusion： Combining ureteroscopy, Percutaneous nephrolithotomy and laparoscopy under a single position of lateral oblique lithotomy position was an effective way to deal with complicated upper urinary tract calculus.

关 键 词：尿路结石 斜仰截石位 输尿管镜 经皮肾镜 腹腔镜 

分 类 号：R691.4[医药卫生—泌尿科学]