后腹腔镜输尿管上段复杂性结石切开取石术中结石移位的预防与处理  

Prevention and management of the calculus drift in retroperitoneoscopic ureterolithotomy for complex upper ureteral calculus

作　　者：朱晓峰[1] 李向利[1] 关海英[1] 

机构地区：[1]苏州市相城人民医院泌尿外科,江苏苏州215131

出　　处：《国际泌尿系统杂志》2017年第6期806-807,共2页International Journal of Urology and Nephrology

摘　　要：目的 探讨后腹腔镜输尿管上段复杂性结石切开取石术中结石移位的预防与处理.方法 回顾性分析13例复杂性输尿管上段结石行后腹腔镜输尿管切开取石术中结石移位患者的临床资料.结果 10例结石移位入肾盂,2例结石移位入肾上盏,1例移位入肾中盏.10例患者使用套石篮取石成功,3例患者使用输尿管软镜取出结石.结论 直接套石篮取石,必要时使用输尿管软镜可以有效处理后腹腔镜输尿管上段复杂性结石切开取石术中结石移位.Objective To investigate the prevention and management of the calculus drift in retroperitoneoscopic ureterolithotomy for complex upper ureteral calculus.Methods The clinical data of 13 cases of the calculus drift in retroperitoneoscopic ureterolithotomy for complex upper ureteral calculus were retrospectively analyzed.Results Stones drifted into the renal pelvis in 10 cases,while stones drifted into the upper calyx in 2 cases and stone drifted into the middle calyx in 1 case.Stones were removed by stone basket successfully in 10 cases,while stones were removed by flexible ureteroscopy in 3 cases.Conclusions Stone basket,when necessary,flexible ureteroscopy can be used to deal with the calculus drift in retroperitoneoscopic ureterolithotomy for complex upper ureteral calculus effectively.

关 键 词：输尿管结石 腹腔镜 

分 类 号：R699.4[医药卫生—泌尿科学]