顺行输尿管软镜治疗输尿管中上段交界部结石的疗效分析  

Therapeutic effect of anterograde flexible ureteroscopy on treament of upper -middle ureteral calculi

作　　者：叶朝阳 程袆 吴威武 李杰 黎明 刘文刚 孔广发 吴志荣 莫永轩 李梅 朱冬玲 Ye Chaoyang Chen Yi Wu Weiwu Li Jie Li Ming Liu Wengang Kong Guangfa Wu Zhirong Mo Yongxuan Li Mei Zhu Dongling(Department of Urology,the Fifth People＇s Hospital of Dongguan,Dongguan, Guangdong 523900, Chin)

机构地区：[1]东莞市第五人民医院泌尿外科,广东省东莞523900

出　　处：《中国基层医药》2016年第21期3248-3251,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省东莞市科技计划医疗卫生类科研项目（201410515000110）;广东省东莞市社会科技发展项目（20131081101041）

摘　　要：目的：探讨顺行输尿管软镜钬激光碎石治疗输尿管中上段交界部结石的有效性及安全性。方法回顾性分析47例采用顺行输尿管软镜治疗输尿管中上段交界部结石患者的临床资料，男性28例，女性19例，年龄20～68岁。结石最大径8～22 mm，平均14 mm。结果47例患者均取得手术成功，平均手术时间为（65．3±8．5）min，平均住院时间为8 d，术中出血量均＜50 mL。一期结石清除率93．62％（44／47）。所有患者术中无明显输尿管损伤、大出血等严重并发症。结论顺行输尿管软镜钬激光碎石治疗输尿管中上段交界部结石具有安全性高、手术成功率高、结石清除率高、并发症少等优点，值得临床推广应用。Objective To identify the therapeutic effect and safety of anterograde flexibleureteroscopy on the treatment of upper -middle ureteral calculi.Methods The clinical data of 47 patients who underwent anterograde flexible ureteroscopy for the treatment of upper -middle ureteral calculi in our center were retrospectively reviewed. During the 47 patients,28 cases were men,19 cases were women.Age ranged from 20 to 68 years.The diameter of calculi ranged from 8 to 22mm（mean =14 mm）.Results The flexible ureteroscopic lithotripsy procedure were successful in all the cases.The mean operative time was （65.3 ±8.5）min.The mean hospital stay was 8 days.The average blood loss was less than 50mL.The initial stone -free rate was 93.62%（44 /47）.No severe complications occurred intraoperative and postoperative.Conclusion Anterograde flexible ureteroscope has good therapeutic effect in treating upper -middle ureteral calculi.It is safe and effective procedure,with less complication and a high calculus removing rate.The surgical methods is worthy of clinical application.

关 键 词：输尿管镜检查 尿路结石 输尿管结石 

分 类 号：R699.4[医药卫生—泌尿科学]