智能控压输尿管软镜取石术治疗多囊肾合并结石的临床分析  

Intelligent pressure-controlled ureteroscopic lithotripsy for the treatment of polycystic kidney complicated with renal calculi

作　　者：高坪 吕桥 李松波 陈果 李宇同[1] 潘斌[1,2] GAO Ping;LYU Qiao;LI Songbo;CHEN Guo;LI Yutong;PAN Bin(Department of Urology,the First Affiliated Hospital of Jinan University,Guangzhou 510630,Guangdong,China;Department of Urology,the Fifth Affiliated Hospital of Jinan University,Heyuan 517475,Guangdong,China)

机构地区：[1]暨南大学附属第一医院泌尿外科,广东广州510630 [2]暨南大学附属第五医院泌尿外科,广东河源517475

出　　处：《暨南大学学报（自然科学与医学版）》2024年第5期488-492,共5页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：广州市科技计划-市校联合资助项目(2024A03J1114);河源市科技计划项目(河科社农大专项2022018)。

摘　　要：目的:探讨智能控压输尿管软镜取石术治疗多囊肾(polycystic kidney disease,PKD)合并结石的临床疗效。方法:回顾性分析2022年6月至2023年9月暨南大学附属第一医院收治的3例PKD合并结石患者的临床资料,分析智能控压输尿管软镜取石术的治疗效果。结果:3例患者均为男性,平均年龄(51.00±6.08)岁,结石平均表面积(4.75±4.53)cm 2,2例患者结石位于左侧、1例位于右侧,3例患者均有不同程度患侧肾积水。3例患者手术均顺利完成,平均手术时间(195.30±65.61)min,术中、术后均无发热和活动性出血,所有患者术后均未出现脓毒血症、脏器损伤、灌注液吸收综合征等并发症,无输血治疗,术后第1天复查血常规、生化,平均血红蛋白下降(9.73±13.35)g/L,术后平均血肌酐值为(265.10±194.28)μmol/L。结论:智能控压输尿管软镜取石术治疗PKD合并结石是安全、有效的。Objective:To evaluate the clinical efficacy of intelligent controlled pressure ureterorenoscopy in treating polycystic kidney disease with renal calculi.Methods:A retrospective analysis was conducted on the clinical data of three patients with polycystic kidney disease and renal calculi treated in the first affiliated hospital of Jinan University between June 2022 and September 2023.Intelligent controlled pressure ureterorenoscopy was performed,and the treatment outcomes and incidence of complications were analyzed.Results:All three patients were male,with an average age of(51.00±6.08)years old.The average surface area of the stones in(4.75±4.53)cm 2.Two patients had stones on the left side,and one had stones on the right side.All three patients exhibited varying degrees of renal hydronephrosis.All three surgeries were successfully completed.The average operative time was(195.30±65.61)min.No active bleeding occurred during or after the surgery.None of the patients experienced complications such as sepsis,organ injury,or irrigation fluid absorption syndrome.Routine blood and biochemical tests were conducted on the first day post-surgery.The average decrease in hemoglobin was(9.73±13.35)g/L,and no patient required blood transfusion.The average postoperative serum creatinine level was(265.10±194.28)μmol/L.Conclusion:Intelligent controlled pressure ureterorenoscopy is a safe and effective treatment for polycystic kidney with renal calculi.

关 键 词：智能控压 多囊肾 肾结石 

分 类 号：R692.9[医药卫生—泌尿科学]