微创腔镜治疗上尿路结石合并肾盂内尿液感染的临床效果分析  

Clinical analysis of minimally invasive endoscopic treatment on calculus of upper urinary tract combined with urinary infection in renal pelvis

作　　者：孙敏[1] 史振峰[1] 刘亮[1] 南玉奎[1] 李鸣[1] 亚力坤[1] 艾合买提[1] 尼哈提[1] 齐飞波[1] 

机构地区：[1]新疆维吾尔自治区人民医院泌尿中心三科,乌鲁木齐830001

出　　处：《新疆医学》2016年第3期293-296,共4页Xinjiang Medical Journal

摘　　要：目的探讨微创腔镜治疗上尿路结石合并肾盂内尿液感染的临床效果。方法对2009年9月-2015年9月新疆自治区人民医院泌尿外科经实验室及影像学检查确诊的91例上尿路结石合并肾盂内尿液感染的患者的病历资料进行回顾性的临床分析。11例行输尿管软镜下钬激光碎石术,28例行输尿管硬镜下输尿管结石碎石术,27例患者行I期经皮肾镜取石术,18例行经皮肾穿刺造瘘引流术,7例患者行经输尿管镜支架置入术。结果 91例患者中,66例（73%）肾功能得以不同程度的恢复,I期结石取净者50例,残留碎石41例,二期结石取净者29例,三期结石取净者11例,1例Ⅱ期肾切除术。术后随访1-12个月无复发。结论微创腔镜技术对上尿路结石合并肾盂内尿液感染进行治疗效果良好,个体化治疗上尿路结石合并肾盂内尿液感染,大大提高手术成功率。Objective To investigate the Clinical effect of minimally invasive endoscopic treatment on calculus of upper urinary tract combined with urinary infection in renal pelvis. Methods The clinical data of 91 patients undergoing calculus of upper urinary tract combined with urinary infection in renal pelvis from September 2009 to September 2015 were studied and analysed.Among them, 11 cases were treated by flexible ureteroscopy and holmium laser. 28 cases were treated by transurethral ureteroscopy. 27 cases were treated by one-stage pereutaneous nephrolithotomy. 18 cases were treated by mini-percutaneous nephrostomy and nephrollithtomy. 7 cases were treated by Double-J ureteral stenting with ureterseop. Results Renal function were recovered in different degree in 66 cases（73%）. There were 50 cases whose stone were free in one-stage operation. There were 41 cases who still had residual stones.In the second-stage operation there were29 cases who had no stones. In the third-stage operation there were 11 cases who were no stones, and 1 case who got nephrectomy. No other complications occurred after 1 to 12 months＇ follow-up. Conclusion Minimally invasive endoscopic technique could be used in calculus of upper urinary tract combined with urinary infection in renal pelvis. And if the surgical treatment could be based on patients＇ situation, then the success rate of operation would be greatly improved.

关 键 词：微创腔镜技术 上尿路结石 肾盂内尿液感染 

分 类 号：R714.258[医药卫生—妇产科学]