Safety and efficacy of flexible ureteroscope for renal calculus in patients with solitary kidney

Wen Shuang; Chen Gang; Li Yi; Yang Ziyi; Xiong Chaoyu

doi:10.13406/j.cnki.cyxb.000900

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Safety and efficacy of flexible ureteroscope for renal calculus in patients with solitary kidney

更新时间：2024-01-17

- Safety and efficacy of flexible ureteroscope for renal calculus in patients with solitary kidney
- Journal of Chongqing Medical University Vol. 41, Issue 9, Pages: 955-958(2016)
- 作者机构：
  
  重庆医科大学附属第一医院泌尿外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.000900
  CLC： R699.2
- Published：2016，
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[1]文爽,陈刚,李毅,杨紫依,熊超玉.输尿管软镜碎石术治疗孤立肾肾结石的临床研究[J].重庆医科大学学报,2016,41(09):955-958.

Wen Shuang, Chen Gang, Li Yi, et al. Safety and efficacy of flexible ureteroscope for renal calculus in patients with solitary kidney. [J]. Journal of Chongqing Medical University 41(9):955-958(2016)
[1]文爽,陈刚,李毅,杨紫依,熊超玉.输尿管软镜碎石术治疗孤立肾肾结石的临床研究[J].重庆医科大学学报,2016,41(09):955-958. DOI： 10.13406/j.cnki.cyxb.000900.

Wen Shuang, Chen Gang, Li Yi, et al. Safety and efficacy of flexible ureteroscope for renal calculus in patients with solitary kidney. [J]. Journal of Chongqing Medical University 41(9):955-958(2016) DOI： 10.13406/j.cnki.cyxb.000900.

摘要

目的:探讨输尿管软镜碎石术治疗孤立肾肾结石的疗效及安全性。方法:回顾性分析2013年10月至2015年12月采用输尿管软镜钬激光碎石术治疗30例孤立肾肾结石患者的临床资料。其中对侧肾切除所致孤立肾16例

对侧肾萎缩无功能致功能性孤立肾14例。结果:一次性进镜成功率96.7%（29/30）

结石寻及率为93.3%（28/30）

一次性结石清除率为76.7%（23/30）。术后24 h血肌酐无明显变化。术后发热病人3例

经抗感染治疗后好转。术后肾周血肿1例

经止血、抗感染治疗后好转。术后石街形成1例

经输尿管硬镜手术后好转。无严重感染及严重出血等严重并发症发生。结论:对合适的病例及有经验的医师而言

输尿管软镜碎石术治疗孤立肾合并肾结石是安全有效的。

Abstract

Objective:To evaluate the safety and curative efficacy of flexible ureteroscope in the treatment of solitary kidney calculus.Methods:A total number of 30 patients who had the solitary kidney calculus were treated with flexible ureteroscope from October2013 to December 2015 and related clinical data were retrospectively analyzed. Results:Only two cases did not find calculus due to ureteral stricture and the rest of the patients were successfully operated. The One-time calculus clearance rate was 76.7%(23/30).Postoperative complications were noted in 16.7% of the patients(5/30). The most common complication was fever(3/30). One of the three patients suffered ureteral steinstrasse and recovered after ureteroscope. One case had perirenal hematoma and recovered after the treatment of blood stop and anti-infection. No case of severe infection and blooding was observed. Conclusion:In the case of suitable patients and experienced urologists

flexible ureteroscope for the removal of stones in the patients with solitary kidney afford a high success rate and low morbidity rate

which should be considered as the primary treatment.

关键词

输尿管软镜孤立肾肾结石

Keywords

flexible ureteroscopesolitary kidneyrenal stones

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