Clinical evaluation of flexible ureteroscopy in the treatment of special renal caculi

Chen Minglong; Shi Xiaobo; Tang Wei

doi:10.13406/j.cnki.cyxb.001116

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Clinical evaluation of flexible ureteroscopy in the treatment of special renal caculi

更新时间：2024-01-17

- Clinical evaluation of flexible ureteroscopy in the treatment of special renal caculi
- Journal of Chongqing Medical University Vol. 41, Issue 12, Pages: 1288-1291(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.001116
  CLC： R699.2
- Published：2016，
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[1]陈明龙,史晓博,唐伟.特殊类型肾结石应用输尿管软镜治疗的临床评估[J].重庆医科大学学报,2016,41(12):1288-1291.

Chen Minglong, Shi Xiaobo, Tang Wei. Clinical evaluation of flexible ureteroscopy in the treatment of special renal caculi. [J]. Journal of Chongqing Medical University 41(12):1288-1291(2016)
[1]陈明龙,史晓博,唐伟.特殊类型肾结石应用输尿管软镜治疗的临床评估[J].重庆医科大学学报,2016,41(12):1288-1291. DOI： 10.13406/j.cnki.cyxb.001116.

Chen Minglong, Shi Xiaobo, Tang Wei. Clinical evaluation of flexible ureteroscopy in the treatment of special renal caculi. [J]. Journal of Chongqing Medical University 41(12):1288-1291(2016) DOI： 10.13406/j.cnki.cyxb.001116.

摘要

目的:探讨输尿管软镜钬激光碎石术（flexible ureteroscopy combined holmium laser lithotripsy

f-URS）治疗特殊类型肾结石的有效性和安全性。方法:回顾分析我院2014年1月至2015年8月收治的经f-URS治疗的22例特殊类型肾结石患者

包括过度肥胖2例

脊柱侧弯1例

盆腔异位肾1例

不完全输尿管畸形2例

肾盏憩室5例

独肾10例

马蹄肾2例。结石单发12例

多发10例。结石平均大小为（1.50±0.82）cm。术前10例尿常规白细胞计数>500个/μL

6例合并肾功能不全。结果:21例术中成功探及结石并粉碎

1例马蹄肾患者术中软镜无法粉碎到全部结石。平均碎石次数1.3次

平均手术时间（66±24）min

平均术后住院时间（1.73±1.15）d。1例术后发热

静脉应用抗生素后治愈。术后4周复查3例结石残留

肾功能不全均有改善。结论:输尿管软镜钬激光碎石术治疗特殊类型肾结石有效、安全。

Abstract

Objective:To evaluate the effectiveness and safety of flexible ureteroscopy combined holmium laser lithotripsy(f-URS)in the treatment of special renal calculi. Methods:A total of 22 special patients with renal calculi who were treated by f-URS from January 2014 to August 2015 were reviewed

including 2 cases of obesity

1 case of scoliosis

1 case of renal pelvic ectopia

2 cases of incomplete ureteral duplication

5 cases of calyceal diverticulum

10 cases of isolated kidney and 2 cases of horseshoe kidney. Twelve patients were single stone and 10 patients were multiple stones. Average stone size was(1.50±0.82)cm. Ten patients had a urinary leukocyte count of > 500 cells/μL in routine urinalysis and 6 patients had renal insufficiency before f-URS. Results:All stones were detected and smashed successfully in 21 patients but a bit of stones can not be detected in one patient with horseshoe kidney. The average operation number

time and postoperative hospital days were 1.3 times

(66±24)min and(1.73±1.15)days

respectively.One patient had a fever after f-URS and was cured by intravenous antibiotics therapy. Three patients were not stone free and patients with renal insufficiency had renal function improved. Conclusion:f-URS is an effective and safe choice for special renal calculi.

关键词

输尿管软镜钬激光结石特殊

Keywords

flexible ureteroscopyHolmium lasercalculispecial

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