硕通镜治疗输尿管石街的疗效分析  

Therapeutic effect of Shuo Tong ureteroscopy on steinstrasse

作　　者：王斌辉 许武军 龙向阳 吴孝斌 刘利 陈仙 WANG Binhui;XU Wujun;LONG Xiangyang;WU Xiaobin;LIU Li;CHEN Xian(Institute of Urology,Second Affiliated Hospital of University of South China,Hengyang,Hunan,421001,China)

机构地区：[1]南华大学附属第二医院,泌尿外科研究所,湖南衡阳421001

出　　处：《临床泌尿外科杂志》2021年第4期281-283,共3页Journal of Clinical Urology

摘　　要：目的:探讨硕通镜治疗输尿管石街的安全性和可行性并评估疗效.方法:回顾性分析我院2017年3月—2019年3月收治的10例输尿管石街患者的临床资料。所有患者行硕通镜镜检,使用钬激光碎石取石,观察患者体温变化、手术时间、住院时间及复查KUB或CT。结果:10例患者手术顺利,手术时间20~50min,平均(35.4±8.73)min,术后住院时间2~7d,平均(4.3±1.49)d。术后患者无发热,无输尿管穿孔、撕脱,无尿源性脓毒症等并发症发生。术后患者临床症状全部消失,术后2~3 d复查KUB或CT,均未见结石残留。术后4周拔除双J管。结论:硕通镜处理输尿管石街,具有微创、效果满意、安全有效的优点。Objective:To explore the safety and feasibility of Shuo Tong ureteroscopy in the treatment of ureteral steinstrasse and to evaluate the efficacy.Methods:A retrospective analysis of clinical data of 10 patients with ureteral steinstrasse admitted to Second Hospital of University of South China from March 2017 to March 2019 was done.Patients underwent Shuo Tong ureteroscopy examination,then holmium laser lithotripsy was taken.Patient’s body temperature changes,operation time and hospitalization time were observed,and KUB or CT was reviewed.Results:The operation of 10 patients were successful.The operation time was 20-50(35.4±8.73)min,and the postoperative hospital stay was 2-7(4.3±1.49)d.Patients had no fever,ureteral perforation,avulsion,or complications of urinary sepsis postoperatively.All the clinical symptoms of the patients disappeared after the operation.KUB or CT were rechecked 2 to 3 days after the operation,and no stone remained.The double J tube was removed 4 weeks after surgery.Conclusion:Shuo Tong ureteroscopy in treatment of steinstrasse has the advantages of minimal invasion,satisfactory effect and safety.

关 键 词：肾结石 输尿管石街 硕通镜 软镜 

分 类 号：R691[医药卫生—泌尿科学]