探讨复杂型上尿路结石应用输尿管镜联合经皮肾镜钬激光碎石术的治疗效果  

Effect of Combined With Holmium Laser Lithotripsy and Ureteroscope in the Treatment of Upper Urinary Tract Calculi

作　　者：姚志敏[1] 宋宇[1] 朱锦智[1] 吴仁植[1] 刘磊[1] 

机构地区：[1]黑龙江省大庆市人民医院,163316

出　　处：《中国卫生标准管理》2015年第20期77-78,共2页China Health Standard Management

摘　　要：目的：对输尿管镜联合经脾肾镜狄激光碎石治疗复杂型上尿路结石的临床效果进行研究分析。方法根据2012年1月～2014年12月我院的68例复杂型上尿路结石的患者来进行探讨分析，为患者使用输尿管镜联合经皮肾镜钬激光碎石术治疗，对临床治疗情况，术后并发症情况等进行观察分析。结果全部患者的临床手术成功率是88.2%，共出现了结石残留病例8例，有4例采取体外碎石，4例采取经皮肾镜碎石，有1例出血病例出现，全部患者接受了6个月的跟踪随访，没有不良反应产生，患者的肾功能改善，尿路正常，无狭窄情况产生。结论复杂型上尿路结石可以选择输尿管镜联合经脾肾镜狄激光碎石治疗，能够让肾和输尿管的结石都被清除，比传统手术的时间短，患者恢复速度快，并发症发生率较低。ObjectiveTo study the clinical effect of complex upper urinary tract calculi with the treatment of the complex upper urinary tract calculi.Methods According to the January 2012 to December 2014,68 cases of complicated upper urinary tract calculi of patients to analyze,for use in patients with ureteroscopy joint by percutaneous nephrolithotripsy with holmium laser lithotripsy for the treatment,for clinical treatment,postoperative complications were observed and analyzed.ResultsAl patients with clinical success rate was 88.2%,there were residual stones were 8 cases,4 cases take extracorporeal lithotripsy,4 cases taken percutaneous nephrolithotomy,1 case of hemorrhage cases,al patients accepted 6 months of folow-up, no adverse reactions,patients with renal function improved significantly,urinary tract normal,no stenosis was produced.Conclusion The complex upper urinary tract calculi can choice ureteroscopy combined by spleen and kidney mirror di laser lithotripsy can make renal and ureteral stones have been removed,the shorter time than traditional surgery,patients recover fast,complication rate is low.

关 键 词：上尿路结石 输尿管镜 经皮肾镜 钬激光碎石术 

分 类 号：R691[医药卫生—泌尿科学]