输尿管内双“J”管滞留继发结石处理经验分享12例  

Clinical experience of treating secondary stones around the stranded Double-J ureteral catheter stent：a report of 12 cases

作　　者：王海峰[1] 赖建平[1] 傅光华[1] 杨宇[1] 张伟[1] 

机构地区：[1]宜宾市第一人民医院泌尿外科,四川宜宾644000

出　　处：《国际泌尿系统杂志》2018年第1期83-85,共3页International Journal of Urology and Nephrology

摘　　要：目的 探讨输尿管内双“J”管滞留继发结石处理经验.方法 回顾性分析本院2010年1月至2016年1月12例输尿管内双“J”管滞留继发结石临床资料,总结处理经验及预防措施.结果 本组12例,所有输尿管内双“J”管均被成功完整取出,继发结石均被成功碎石,术后第3天复查泌尿系平片及彩超,所有患者肾盂内残留结石均＜2 mm,其中1例因肾积脓,二期行PCNL术清除残余结石及双“J”管,1个月后再复查残留结石全部排出,拔管成功率及结石清除率为100％,手术时间35～128（64.0 ±4.3）min,术后无手术相关并发症出现.结论 输尿管硬、软镜及PCNL术处理输尿管内双“J”管滞留继发结石,具有损伤小,拔管成功率及结石清除率高等优点.Objective To explore the clinical experience of treating secondary stones around the stranded Double-J ureteral catheter stent.Methods A retrospective analysis of clinical data which were 12 cases of secondary stones around the stranded Double-J ureteral catheter stent from January 2010 to January 2016,so as to sum up the experiences of treatment and prevention measures.Results In all 12 cases,the stranded Double-J ureteral catheter stents were removed successfully,and the secondary calculi were successfully shattered.After 3 days of the surgery,abdominal plain film or urinary color ultrasonic observed that the diameters of all residual stones were less than 2 mm.Because of kidney empyema,1 patient underwent the second phase PCNL surgery to remove residual calculi and Double-J tubes.After 1 month,the residual stones were completely discharged.The success rate of drawing tube and the stone clearance rate were both 100％.The average operation time was 35 ～128 （64.0 ± 4.3）min.After the operation,no complications occurred.Conclusions Combination of rigid ureteroscope,fexible ureteroscope lithotripsy and percutaneous nephrolithotomy for the secondary stones around the tranded Double-J ureteral catheter stent,which has advantages of little injury,high rate of the drawing tube and stone clearance.

关 键 词：输尿管结石 输尿管镜 肾造口术 经皮 

分 类 号：R699[医药卫生—泌尿科学]