微创经皮肾镜取石术处理输尿管上段结石的疗效分析  

Efficacy of minimally invasive percutaneous nephrolithotomy lithotripsy treatment of upper ureteral calculi

作　　者：吴永平[1] 孙浩[1] 陈兵海[1] 郭涛[1] 陶美满[1] 贺胜龙 

机构地区：[1]江苏大学附属医院泌尿外科,212000

出　　处：《国际检验医学杂志》2015年第A02期54-56,共3页International Journal of Laboratory Medicine

摘　　要：目的探讨微创经皮肾镜取石术治疗输尿管上段结石的临床效果，为其微44治疗提供参考。方法选取于2012年3月至2014年6月来我院治疗的80例行微创经皮肾镜取石术的输尿管上段结石患者，结石长径均大于1cm。结果80例行微创经皮肾镜取石术的患者，76例手术成功，有1例因反复寻找不能找到输尿管开口，有2例因为患者输尿管扭曲或者狭窄导致无法进镜，有1例术中因患者解剖结构限制，无法找到合适的针道建立肾穿刺通道而失败均改行输尿管上段切开取石术。术后随访手术成功患者无结石残留，肾积水减轻，术中及术后来出现严重危及生命并发症。结论经输尿管镜钬激光碎石术对治疗直径大于1．5cm输尿管镜效果不好的输尿管上段结石是一种安全、有效的治疗方法，值得临床推广应用。Objective To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy to treat upper ureter- al calculi,and provide reference for the minimally invasive treatment. Methods Ureteral calculi were selected from 2012 March to 2014 June in our hospital for treatment of 80 patients who underwent minimally invasive percutaneous nephrolithotomy, all the stone size was bigger than l cm. Results 80 cases underwent minimally invasive percutaneous nephrolithotomy patients, 76 cases were succed, the other four were diverted to ureterolithotomy. Postoperative follow up of patients with successful operation without residual stones,the hydronephrosis relieved,intraoperative and postoperative no serious life threatening complications. Conclusion minimally invasive percutaneous nephrolithotomy receive good effect from the stone of which are bigger than 1.5cm and cant be solved by ureteroscopy.

关 键 词：微创经皮肾镜 输尿管上段结石 

分 类 号：R693.4[医药卫生—泌尿科学]