输尿管软镜钬激光碎石术在孤立肾肾结石中的应用(附21例报告)  

Application of Holmium Laser Lithotripsy in the Treatment of Solitary Kidney Calculi: A Report of 21 Cases

作　　者：谷君卿[1] 朱平宇[1] 崔曙[1] 邓显忠[1] 李建勇[1] 邬韬[1] 

机构地区：[1]川北医学院附属医院泌尿外科,四川南充637000

出　　处：《四川医学》2016年第10期1081-1083,共3页Sichuan Medical Journal

基　　金：四川省教育厅科研重点项目(编号:13ZA0218)

摘　　要：目的：探讨输尿管软镜钬激光碎石术在孤立肾肾结石治疗中的有效性及安全性。方法回顾2011年6月至2015年6月间应用输尿管软镜钬激光碎石术治疗的孤立肾肾结石病例21例的临床资料。分析一次进镜成功率、碎石时间、清石率及并发症。结果所有病例均术前留置输尿管内支架管5-7d,输尿管软镜一次进镜成功率90．48%（19/21）,余2例再次留置输尿管内支架管1月后进镜成功。平均碎石时间65．7min（37-145min）,其中2例分期碎石。术后3月复查KUB清石率85．71%（18/21）。术后1例发生尿脓毒血症,余无严重术后并发症发生。结论输尿管软镜钬激光碎石术在孤立肾肾结石治疗中应用有效、安全,是处理孤立肾肾结石的理想手术方式。Objective To investigate the effectiveness and safety of holmium laser lithotripsy in the treatment of solitary kidney calculi. Methods Clinical data of 21 cases of solitary kidney calculi treated with holmium laser lithotripsy between June 2011 and June 2015 were reviewed. And the success rate,the time of lithotripsy,the stone clearance rate and complications were analyzed. Results All cases were preoperatively indwelled ureteral stent tube for 5-7d,the success rate of 90. 48%（19/21）,and after one month,the left 2 cases were once again indwelled ureteral stent tube. Average time was 65. 7min（37-145min）,of which 2 cases were treated by stages. 3 months after surgery,the rate of KUB was 85. 71%（18/21）. 1 cases of postoperative urinary sepsis,and the left cases had no serious postoperative complications. Conclusion Holmium laser lithotripsy is an effective and safe method in the treatment of solitary kidney calculi,which is an ideal operation method for the treatment of solitary kidney calculi.

关 键 词：输尿管软镜 钬激光 孤立肾肾结石 

分 类 号：R699.2[医药卫生—泌尿科学]