输尿管结石合并独肾导致急性肾功能衰竭Ⅰ期行输尿管镜碎石术治疗的临床分析  

CLINICAL ANALYSIS OF URETEROSCOPIC LITHOTRIPSY IN THE TREATMENT OF ACUTE RENAL FAILURE INDUCED BY URETERAL CALCULI COMBINED WITH SINGLE KIDNEY

作　　者：关晓峰[1] 黎承杨[1] 

机构地区：[1]广西医科大学第一附属医院泌尿外科,南宁530021

出　　处：《广西医科大学学报》2016年第4期600-602,共3页Journal of Guangxi Medical University

基　　金：广西自然科学基金资助项目(No.2011GXNSFA018177)

摘　　要：目的：总结输尿管结石合并独肾导致急性肾功能衰竭Ⅰ期行输尿管镜碎石术的临床经验。方法：回顾性分析2013年7月至2014年7月广西医科大学第一附属医院泌尿外科收治的15例输尿管结石合并独肾导致急性肾功能衰竭的患者临床资料,所有患者均Ⅰ期行输尿管镜碎石术。结果：15例患者中,碎石成功13例（86.67%）,结石一次清除12例（80.00%）,1例（6.67%）输尿管下段小结石残留,术后3周排净。2例（13.33%）患者共计3枚结石碎片（0.3~0.6cm）上移至肾内,1例在术后3周内排净,另1例术后2周后行体外震波碎石治愈。患者术后均留置双J管,2~4周拔除。术中、术后均无明显并发症发生。结论：输尿管结石合并独肾导致急性肾功能衰竭的患者在合适的情况下,可考虑将Ⅰ期行输尿管镜碎石术作为首选方法,其具有安全、有效、并发症少、术后恢复快等优点。Objective： To summary the cl.nical experience of ureteroscopic lithotripsy in the treatm ent of ureteral calculi combined with single kidney-caused acute renal failure. Methods： A retrospective analysishad been conducted on 1 5 single-kidney patients with ureteral calculi from July 2013 to July 2014 in ourhospital. All cases were treated with phase I ureteroscopic lithotripsy. Results： The stone clearance ratewas 80. 00% （12/15）. One case （6. 67% ） had stone resident. in the ureter, and was cleared after 3 weeks.Three stones from 2 cases went up to pelvis during operation. The double-J stent was placed and removed2-4 weeks later. There were no severe complications during perioperative period in the patients. Conclusion：Phase I ureteroscopic lithotripsy has high safety, liable efficacy and fewer complications in treating acuterenal failure induced by ureteral calculi combined with single kidney. Therefore, it is the first choicefor this disease.

关 键 词：输尿管镜 独肾 输尿管结石 急性肾功能衰竭 

分 类 号：R693.4[医药卫生—泌尿科学]