术中实时超声监控在软性输尿管镜术治疗肾结石中的应用经验  

Real-time ultrasound monitoring during flexible ureteroscopy in kidney stone patients

作　　者：熊云鹤[1] 宋超[2] 林珍[1] 廖文彪[1] 孟令超[1] 刘凌琪[1] 陈亮[1] 杨嗣星[1] 

机构地区：[1]武汉大学人民医院泌尿外科,武汉430060 [2]武汉大学人民医院麻醉科

出　　处：《临床泌尿外科杂志》2017年第11期879-880,891,共3页Journal of Clinical Urology

基　　金：国家自然科学基金资助项目(编号31600785)

摘　　要：目的:总结软性输尿管镜术治疗肾结石术中实时超声监控的应用经验。方法:回顾性分析127例术中实时超声监控下行软性输尿管镜术治疗肾结石的患者资料,总结术中超声定位的应用经验,评估其安全性和有效性。结果:本组127例患者均在实时超声监控下完成手术,术后1个月回访,118例患者未发现有意义残石,清石率92.9%;9例患者存在有意义残石,经过物理振动排石机主动排石后3个月复查,未见残石。出现血尿、发热等并发症31例,Clavien评级均在Ⅰ～Ⅱ级,经相应药物治疗后痊愈。结论:软性输尿管镜术治疗肾结石术中采用实时超声监控能够在缺乏X线设施地区,一定程度替代X线监控保障手术安全进行。Objective：To summarize the experience of real-time ultrasonography in the treatment of renal calculi with flexible ureteroscopy.Method：A retrospective analysis of 127 patients with real-time ultrasound monitoring of flexible ureteroscopy in the treatment of kidney stones was done.We summed up ultrasound tracing experience and assessed its safety and effectiveness.Result：All of the 127 patients underwent real-time ultrasound monitoring flexible ureteroscopy.One month after the operation,118 patients weren＇t found significant residual stone,which the stone free rate was 92.9%.However,nine patients were found significant residual stone.They were given active physical vibration,and no residual stone was found after three months.Hematuria,fever and other complications occurred in 31 cases,and Clavien Classification wasⅠ-Ⅱlevel.They were cured after the administration of medicine treatments.Conclusion：Real-time ultrasound monitoring could provide security in the absence of X-ray facilities during flexible ureteroscopy.

关 键 词：超声监控 软性输尿管镜术 肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]