硕通镜在输尿管“石街”治疗中的应用  

Application of ureteral stone street by Shuo Tong ureteroscopy

作　　者：陈汉民[1] 王晓宁[1] 谢天朋[1] 邹晓峰[1] 张国玺[1] 邹毓华[1] 徐刚[1] 江波[1] 刘全亮[1] CHEN Hanmin;WANG Xiaoning;XIE Tianpeng;ZOU Xiaofeng;ZHANG Guoxi;ZOU Yuhua;XU Gang;JIANG Bo;LIU Quanliang(Department of Urology,First Affiliated Hospital of Gannan Medical College,Jiangxi Stone Prevention and Treatment Engineering Technology Research Center,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣南医学院第一附属医院泌尿外科,江西省结石防治工程技术研究中心,江西赣州341000

出　　处：《临床泌尿外科杂志》2021年第3期216-218,共3页Journal of Clinical Urology

基　　金：国家高技术研发计划(863计划)项目(No:2012AA021100)。

摘　　要：目的:探讨硕通镜治疗输尿管石街的临床疗效。方法:回顾性分析2018年3月—2020年3月在我院采用硕通镜下钬激光碎石术治疗输尿管石街患者的临床资料。患者共12例,男8例,女4例;年龄25~62岁,中位年龄44岁;输尿管石街长5.2~10.8 cm,平均7.4 cm。观察一期手术成功率、手术时间、结石清除率、术中及术后并发症发生情况。结果:12例患者均一期顺利完成手术,手术时间40~100 min,平均60 min,术中未发生肾盂输尿管黏膜穿孔、撕脱、断裂以及大出血、感染性休克等严重并发症。术后住院时间1~3 d,平均1.5 d,1例术后出现发热,对症治疗后痊愈,无其他术后并发症发生。术后第1天和术后1个月的清石率分别为83%和92%。术后1个月均顺利拔除双J管,复查彩超肾积水较术前减轻,未见肾周积液及血肿形成。复查肾功能较术前改善。结论:硕通镜治疗输尿管石街安全、有效。Objective: To investigate the clinical effect of ureteral stone street by Shuo Tong ureteroscopy. Methods: The clinical data of patients with ureteral stone street treated by Shuo Tong ureteroscopy with holmium laser lithotripsy in our hospital from March 2018 to March 2020 were retrospectively analyzed. There were 12 cases, 8 males and 4 females, aged between 25 and 62 years, with a median age of 44 years. The length of ureteral stone street was 5.2-10.8 cm, with an average length of 7.4 cm. The success rate, operation time, stone removal rate, intraoperative and postoperative complications were observed. Results: All the 12 patients were completed the operation successfully in the first stage. The operation time was 40-100 min, with an average of 60 min, and no serious complications such as perforation, avulsion, rupture of renal pelvis or ureter mucosa, massive hemorrhage or septic shock occurred during the operation. Postoperative hospitalization time was 1-3 days, with an average of 1.5 days. One patient had postoperative fever which was cured after symptomatic treatment, and no other postoperative complications occurred. The stone removal rates were 83% and 92%, respectively. The double J tubes were removed successfully one month after the operation, and the hydronephrosis was alleviated by color ultrasound reexamination compared with that before the operation. No perirenal effusion or hematoma formation was observed. Renal function was improved after re-examination. Conclusion: Shuo tong ureteroscopy is safe and effective in the treatment of ureteral stone street.

关 键 词：硕通镜 输尿管石街 钬激光 

分 类 号：R693[医药卫生—泌尿科学]