肾盂切开联合内腔镜治疗孤立肾鹿角型结石的疗效观察  

Pyelolithotomy combined with endoscope for staghorn stones in solitary kidney

作　　者：刘边疆[1] 张杰秀[1] 李鹏超[1] 韩志坚[1] 鲁佩[1] 李杰[1] 张炜[1] 王增军[1] 殷长军[1] 

机构地区：[1]南京医科大学第一附属医院泌尿外科,南京210029

出　　处：《临床泌尿外科杂志》2014年第2期97-98,102,共3页Journal of Clinical Urology

基　　金：国家自然科学基金青年科学基金项目(编号81200467);江苏高校优势学科建设工程资助项目(编号JX10231801)

摘　　要：目的:探讨肾盂切开联合内腔镜治疗孤立肾鹿角型结石的治疗效果和操作应用体会。方法:4例孤立肾鹿角型结石患者首先接受肾盂切开取石术。术中沿肾盂切口置入膀胱镜或输尿管镜,在内腔镜监视下进行钬激光碎石取石术,直至肾盂和肾盏内结石完全清除。总结分析相关临床资料。结果:手术均顺利完成。平均手术时间120min。术中术后无出血、感染等并发症。术后平均住院时间5d,结石清除率100%。随访12个月无肾积水、肾盂狭窄或结石复发。结论:肾盂切开联合内腔镜治疗孤立肾鹿角型结石技术和设备要求少,安全高效。Objective： To evaluate efficiency and feasibility of pyelolithotomy combined with endoscope for staghorn stones in solitary kidney. Method.. Four patients with staghorn stones in solitary kidney were recruited. Pyelolithotomy was performed to expose and remove pelvic stones. Cystoscope or ureteroscope was inserted into pelvis and every calices along the pelvic incision and lithotripsy was continued using holmium laser. Result： All op- erations were performed successfully. Average operation time was 120 min. No complications were observed. Av- erage postoperative hospital stay was 5 d. Stone clearance rate was 100~//0-. No hydronephrosis, narrow pelvis or stone recurrence occurred during 12-month follow-up. Conclusion.. Pyelolithotomy combined with endoscope is safe and effective for staghorn stones in solitary kidney.

关 键 词：肾盂切开取石 膀胱镜 输尿管镜 孤立肾 鹿角结石 

分 类 号：R692.4[医药卫生—泌尿科学]