电子输尿管软镜钬激光碎石治疗孤立肾结石的临床观察  

Clinical observations of electronic flexible ureteroscopy holmium laser lithotripsy in the treatment of solitary kidney calculi

作　　者：钱冲[1] 刘成倍[1] 周泽光 徐伟[1] 

机构地区：[1]玉林市第一人民医院泌尿外科,广西玉林537000

出　　处：《微创泌尿外科杂志》2015年第6期341-343,共3页Journal of Minimally Invasive Urology

摘　　要：目的:探讨电子输尿管软镜钬激光碎石处理孤立肾结石的临床效果。方法:2013年1月~2015年6月共收治孤立性肾结石患者107例,用数字表方法对其进行分组处理,53例患者运用微创经皮肾镜取石术(MPCNL组)进行治疗;54例患者采用电子输尿管软镜钬激光碎石术(软镜组)进行治疗,对比上述两组患者的临床治疗效果。结果:术后4周常规行泌尿系平片(KUB)或双肾CT平扫检查,评估结石排净率。残留结石直径≥4mm为有临床意义的结石残留。软镜组清石率87.0%,MPCNL组清石率90.6%,两组比较差异无统计学意义;但出血量软镜组明显少于MPCNL组。结论:采用电子输尿管软镜钬激光碎石术治疗孤立性肾结石,有创伤小、术后并发症少、恢复快等优势,值得推广。Objective:To evaluate the efficacy of electronic fexible ureteroscopy-holmium laser lithotripsy in treating renal stones in a solitary kidney.Methods:We prospectively enrolled 107 patients with a solitary kidney who underwent electronic fexible ureteroscopy-holmium laser lithotripsy or minimally invasive percutaneous nephrolithotomy(MPCNL)at our hospital between January 2012 to June 2014.Patients were randomly divided into two groups according to the treatment method.The safety,efficacy,and outcome were compared and analyzed.Results:At the first day after the operation catheter was removed.Four weeks after the surgery,KUB or CT was performed to assess the stone excretion rate.The stone-free rate(SFR)(87.0%vs.90.6%)and operation duration showed no significant difference between two groups(P >0.05),but the bleeding volume(P <0.05).Conclusions:Electronic flexible ureteroscopy-holmium laser lithotripsy is an effective and safe procedure with a lower rate of complication in treating renal stones in a solitary kidney.

关 键 词：电子输尿管软镜 孤立性肾结石 微创经皮肾镜取石术 

分 类 号：R699.2[医药卫生—泌尿科学]