膀胱Trocar造瘘辅助输尿管镜置入治疗移植肾输尿管结石4例报告  

Bladder fistula with Trocar-assisted ureteroscopy in the treatment of ureteral stones of transplanted kidney:a report of 4 cases

作　　者：罗超 彭亚倩 李涛 谷江 顾昌世 LUO Chao;PENG Yaqian;LI Tao;GU Jiang;GU Changshi(Department of Urology,Affiliated Hospital of Guizhou Medical University,Guizhou 550004;School of Basic Medicine,Guizhou Medical University,Guizhou 550004,China)

机构地区：[1]贵州医科大学附属医院泌尿外科,贵州贵阳550004 [2]贵州医科大学基础医学院,贵州贵阳550004

出　　处：《现代泌尿外科杂志》2024年第5期456-458,共3页Journal of Modern Urology

基　　金：国家自然科学基金委员会地区科学基金项目(No.82060276);贵州省科技厅科技计划项目(No.黔科合基础-ZK[2021]一般382);贵州医科大学高层次人才科研启动基金项目(No.202314)。

摘　　要：目的报告4例膀胱Trocar造瘘辅助输尿管镜置入治疗移植肾输尿管结石患者的资料,分析该疗法的有效性,为治疗此类患者提供参考。方法分析2016年1月—2023年7月在贵州医科大学附属医院泌尿外科住院治疗的4例移植肾输尿管结石患者的资料,4例患者均接受膀胱Trocar造瘘后辅助输尿管软/硬镜联合钬激光碎石治疗,术后复查肾功能,定期随访。结果4例均为输尿管上段结石患者,术后随访时间24~68个月,平均随访38个月,均无结石残留和复发,复查肾功能肌酐恢复正常(分别是79.0、95.0、60.6、82.0μmol)。结论移植肾输尿管结石的治疗应个体化,膀胱Trocar辅助输尿管软/硬镜联合治疗技术能够尽可能地保护移植肾的功能,值得推广和应用。Objective To report the data of 4 cases of Trocar-assisted ureteroscopy in the treatment of transplanted renal ureteral stones,to analyze the effectiveness of this therapy,and provide a reference for the treatment of such patients.Methods Clinical data of 4 patients with ureteral stones of transplanted kidney treated at the Affiliated Hospital of Guizhou Medical University during Jan.2016 and Jul.2023 were retrospectively analyzed.All patients received auxiliary ureteral soft/rigid endoscopic combined with holmium laser lithotripsy after Trocar-assisted bladder fistula.Renal function was rechecked after surgery and all patients were followed up regularly.Results All 4 cases had upper ureteral stones.During the follow-up of 24-68(average 38)months,no residual or recurrent stones were observed.Renal function and creatinine level returned to normal(79.0μmol,95.0μmol,60.6μmol,82.0μmol,respectively).Conclusion The treatment of ureteral stones of transplanted kidney should be individualized.Bladder fistula with Trocar-assisted ureteroscopy can effectively protect the function of transplanted kidney,which is worthy of promotion and application.

关 键 词：膀胱造瘘 输尿管镜碎石 移植肾 输尿管结石 肾功能 TROCAR 

分 类 号：R692.4[医药卫生—泌尿科学]