顺行输尿管软镜碎石术在尿流改道患者输尿管中下段结石中的应用

徐汉江; 梁朝朝; 王建忠; 樊松; 赵磊; 刘明; 郝宗耀

doi:10.13201/j.issn.1001-1420.2019.04.006

顺行输尿管软镜碎石术在尿流改道患者输尿管中下段结石中的应用

- 安徽医科大学第一附属医院泌尿外科安徽医科大学泌尿外科研究所(合肥, 230022)
基金项目:
国家临床重点专科建设项目(2012)

详细信息

通讯作者: 郝宗耀,E-mail:haozongyao@163.com

中图分类号: R693.4

收稿日期: 2018-04-03

Anterograde percutaneous flexible ureteroscopic lithotripsy for the management of mid-lower ureteral stones after urinary diversion

- Department of Urology, First Affiliated Hospital of Anhui Medical University, Institute of Urology, Anhui Medical University, Hefei, 230022, China

More Information

Corresponding author: HAO Zongyao, E-mail: haozongyao@163.com

Received Date: 03 April 2018

摘要

摘要: 目的:探讨顺行输尿管软镜碎石术在各种尿流改道术后输尿管中下段结石病例中的应用价值。方法:回顾性分析2013年4月~2017年10月采用顺行输尿管软镜治疗的15例改道术后发生输尿管中下段结石病例的安全性和疗效。结果:15例患者手术均顺利完成,术中未出现气胸、严重出血、输尿管穿孔、腹腔脏器损伤等并发症。手术时间30~80 min,平均(46±15) min;术后住院时间2~8 d,平均(4.2±1.5) d。术后第2天复查KUB均未见明显结石残留,双J管位置均正常。术后第4周复查泌尿系CT均未见明显结石残留与复发。结论:顺行输尿管软镜碎石术可作为尿流改道患者输尿管中下段结石处理的一种安全有效方法。
- 顺行输尿管软镜 /
- 尿流改道 /
- 输尿管结石
Abstract: Objective: To investigate the clinical value and safety of anterograde flexible ureteroscopic lithotripsy in the management of mid-lower ureteral stones after various urinary diversions. Method: From April, 2013 to October, 2017, data of 15 cases with ureteral mid-lower ureteral stones after urinary diversions undergoing anterograde flexible ureteroscopic lithotripsy were studied and evaluated the safety and clinic efficacy. Result: Anterograde flexible ureteroscopic lithotripsy procedure was successful in all cases without severe complications such as pneumatothorax, hemorrhoea, perforation of ureter or trauma of abdominal organ. The mean operative time was(46±15) min, and the mean hospital stay was(4.2±1.5) days. Two days postoperatively KUB indicated no significant residual stones were found, and the D-J stent was in position. No significant residual stones or recurrence were found in CT in the fourth week after operation.Conclusion: Anterograde flexible ureteroscopic lithotripsy, one of the alternative methods during our clinical works, is safe and effective for mid-lower ureteral stones after various urinary diversions.
- anterograde flexible ureteroscopic lithotripsy /
- urinary diversion /
- ureteral stones

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参考文献(10)

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