输尿管软镜钬激光碎石术治疗24例肾盏憩室结石  

Flexible ureterorenoscopy with holmium laser lithotripsy for the caliceal diverticular calculi: report of 24 cases

作　　者：张大虎[1] 刘修恒[1] 张小平[2] 李忠远[2] 邱涛[1] 陈志远[1] 

机构地区：[1]武汉大学人民医院泌尿外科,武汉430060 [2]湖北医药学院附属襄阳医院,湖北襄阳441000

出　　处：《中华腔镜泌尿外科杂志（电子版）》2014年第4期21-23,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的 探讨输尿管软镜钬激光碎石治疗肾盏憩室结石的临床治疗效果.方法 2011年3月至2013年1月收治肾盏憩室结石24例,均行输尿管软镜钬激光碎石治疗,对碎石成功率、手术时间、并发症及复发等情况进行分析.结果 一次性碎石成功19例,碎石成功率为79.1％,20例患者症状消失,平均手术时间（80±21）mm,结石直径平均为（11.5±4.1）mm.分析24例患者的结石成分,其中草酸钙＋碳酸磷灰石结石占50.0％（12例）,草酸钙结石占41.7％（10例）,六水磷酸镁铵结石占8.3％（2例）.所有患者术后均无并发症发生.随访1～6个月,未见结石复发及其他症状出现.结论 输尿管软镜钬激光碎石是治疗肾盏憩室结石安全、有效的方法之一.Objective To evaluate the clinical efficacy of flexible ureterorenoscopy （F-URS） with holmium laser lithotripsy for the treatment of caliceal diverticular calculi. Methods 24 patients with caliceal diverticular calculi underwent F-URS with holmium laser lithotripsy in our hospital between March 2011 and January 2013. The success rate of lithotripsy, operation time, complications and recurrent rate were retrospectively analyzed. Results 19 cases were performed successfully. The stone-flee rate was 79.1%. In total, mean operative time was （80±21）min and mean stone diameter was （11.5±4.1）mm, without severe complications. 20 patients were symptom free after the operation. Among 24 cases of urolithiasis, calcium oxalate ＋ carbonate apatite stone was accounted for 50.0%, calcium oxalate stone was accounted for 41.7%, hexahydrate magnesium ammonium phosphate stone was accounted for 8.3%. The patients had follow-up for 1-6 months without stone recurrence and they were asymptomatic. Conclusions F-URS with holmium laser lithotriosv is a safe and efficient method for the treatment of the caliceal diverticular calculi.

关 键 词：肾盏憩室结石 输尿管软镜 钬激光 

分 类 号：R699.2[医药卫生—泌尿科学]