尿流改道术后尿路结石的治疗  

Treatment of urinary tract stones in patients with urinary diversion

作　　者：钟文[1] 钟惟德[1] 曾国华[1] 单炽昌[1] 袁坚[1] 

机构地区：[1]广州医学院第一附属医院微创外科中心,广东510230

出　　处：《国际泌尿系统杂志》2013年第4期469-471,共3页International Journal of Urology and Nephrology

摘　　要：目的探讨尿流改道术后尿路结石的治疗方法。方法选取20例既往因膀胱癌接受尿流改道的尿路结石患者（肾结石6例，输尿管结石5例，储尿囊结石9例），接受个性化的治疗：其中经皮肾取石术8例，经皮肾顺行输尿管软镜碎石术3例，储尿囊流出道入路手术5例，经皮膀胱穿刺入路手术3例，开放取石1例。结果手术时间60～130min，平均104min；术后结石清除率90％（18／20）；术后发热4例（20％），其中1例经皮肾镜技术（PCNL）术后液胸，行胸腔闭式引流。结论针对尿流改道术后的尿路结石患者，采取个性化治疗方案，能够有效的清除尿路结石。Objectives To evaluate the treatment of urinary tract stone in patients with urinary diversion. Methods Materials and methods 20 cases of patients with urinary tract stone after urinary diversion due to bladder cancer （renal stone in 6 cases, ureteral calculi in 5 cases, urinary reservoir stones in 9 cases）, receive personalized treatment. Percutaneous nephrolithotomy in 8 cases, percutaneous approach with antegrade flexible ureteroscopic lith- otripsy in 3 cases, urinary reservoir outflow tract approach in 5 cases, percutaneous bladder puncture approach in 3 cases, open operation in one case. Results The operation time was 60 - 130 minutes, with an average of 104 mi- nutes. Clearance rate was 90% （ 18/20 ）. Postoperative fever was noted in 4 cases （20%）, liquid pneumothorax was noted in 1 case following PCNL, and received closed thoracic drainage. Conclusions According to the dif- ferent condition, a personalized treatment program can effectively remove urinary tract stones.

关 键 词：尿流结石 尿流改道术 

分 类 号：R699[医药卫生—泌尿科学]