微创治疗回肠膀胱术后输尿管中段结石疗效分析  

作　　者：谢玺[1] 王于勇[1] 王旭亮[1] 何华东[1] 邓刚[1] 水冰[1] 

机构地区：[1]杭州市第一人民医院,310000

出　　处：《浙江临床医学》2016年第12期2265-2266,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨微创治疗回肠膀胱术后并发输尿管中段结石的临床效果。方法回顾分析2010年7月至2015年11月3例膀胱癌全切回肠膀胱术后并发输尿管中段结石患者的临床资料，并结合相关文献进行分析。结果手术完成顺利.过经皮肾创造通道，顺行置入输尿管软镜激光碎石术，术后4周拔除F5双J管后患者无结石残留，肾功能正常。结论回肠膀胱术后会出现上尿路结石的并发症，结合经皮肾顺行输尿管软镜是一种微创治疗手段，该手术的成功实施，为临床处理该类疾病提供借鉴。Objective To evaluate the clinical effect and efficacy of minimally invasive treatment of middle-ureteral calculus after ileal conduit. Methods The clinical data of 3 patients who had bladder neoplasms with middle-urcteral calculus after ileal conduit were retrospectively analyzed from July 2010 to Novcmber 2015. Results The operation completed successfully. Antcrograde flexible ureteroscopic lithotripsy has been done through percutaneous renal channel, and the 5F soft double J ureteral stcnt was indwelled for 4 weeks. No residual calculus and normal renal function were found during the 4 weeks＇ follow-up. Conclusion In combination with percutaneous ncphrolithotomy and anterograde flexible ureteroscopic lithotripsy, thc complication of upper urinary tract calculus after ileal conduit were solved. This minimally invasive treatment provides a reference for clinical treatment of the discasc after succcss.

关 键 词：经皮肾镜 输尿管软镜 回肠膀胱术 输尿管结石 

分 类 号：R693.4[医药卫生—泌尿科学]