-
摘要: 目的:探讨硕通镜治疗输尿管石街的安全性和可行性并评估疗效.方法:回顾性分析我院2017年3月—2019年3月收治的10例输尿管石街患者的临床资料。所有患者行硕通镜镜检,使用钬激光碎石取石,观察患者体温变化、手术时间、住院时间及复查KUB或CT。结果:10例患者手术顺利,手术时间20~50min,平均(35.4±8.73) min,术后住院时间2~7d,平均(4.3±1.49) d。术后患者无发热,无输尿管穿孔、撕脱,无尿源性脓毒症等并发症发生。术后患者临床症状全部消失,术后2~3 d复查KUB或CT,均未见结石残留。术后4周拔除双J管。结论:硕通镜处理输尿管石街,具有微创、效果满意、安全有效的优点。Abstract: Objective: To explore the safety and feasibility of Shuo Tong ureteroscopy in the treatment of ureteral steinstrasse and to evaluate the efficacy.Methods: A retrospective analysis of clinical data of 10 patients with ureteral steinstrasse admitted to Second Hospital of University of South China from March 2017 to March 2019 was done. Patients underwent Shuo Tong ureteroscopy examination, then holmium laser lithotripsy was taken. Patient's body temperature changes, operation time and hospitalization time were observed, and KUB or CT was reviewed.Results: The operation of 10 patients were successful. The operation time was 20-50(35.4 ± 8.73) min, and the postoperative hospital stay was 2-7(4.3 ± 1.49) d. Patients had no fever, ureteral perforation, avulsion, or complications of urinary sepsis postoperatively. All the clinical symptoms of the patients disappeared after the operation. KUB or CT were rechecked 2 to 3 days after the operation, and no stone remained. The double J tube was removed 4 weeks after surgery.Conclusion: Shuo Tong ureteroscopy in treatment of steinstrasse has the advantages of minimal invasion, satisfactory effect and safety.
-
Key words:
- kidney stones /
- ureteral steinstrasse /
- Shuo Tong ureteroscopy /
- flexible ureterscope
-
[1] 那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2014:365-370
[2] Onal B,Citgez S,Tansu N,et al.Predictive factors and management of steinstrasse after shock wave lithotripsy in pediatric urolithiasis—a multivariate analysis study[J].Urology,2012,80(5):1127-1131.
[3] 高小峰,李凌,彭泳涵,等.输尿管软镜联合钬激光治疗2-4 cm肾结石疗效分析[J].微创泌尿外科杂志,2013,2(1):47-49.
[4] 万恩明.组合式输尿管软镜治疗肾结石的有效性和安全性[J].新乡医学院学报,2013,30(2):120-122.
[5] 朱池海,廖邦华,朱育春,等.输尿管软镜钬激光碎石术后石街的发生率及其危险因素分析[J].现代泌尿外科杂志,2015,20(8):561-565,576.
[6] 王坚,周大庆,王封景,等.输尿管软镜碎石术后输尿管石街形成分析及处理[J].微创泌尿外科杂志,2016,5(2):94-97.
[7] Al-Awadi KA,Abdul Halim H,Kehinde EO,et al.Steinstrasse:a comparison of incidence with and without J stenting and the effect of J stenting on subsequent management[J].BJU Int,1999,84(6):618-621.
[8] 黄锐,梁晓雯.缩短双J管留置时间对输尿管软镜碎石术后并发输尿管石街治疗的临床价值[J].中国微创外科杂志,2014,20(4):350-352.
[9] 何国永,蔡润东.双J管留置时间对输尿管软镜碎石术后并发石街的影响[J].延安大学学报(医学科学版),2015,13(4):30-32.
[10] Kang HW,Cho KS,Ham WS,et al.Predictive factors and treatment outcomes of Steinstrasse following shock wave lithotripsy for ureteral calculi:A Bayesian regression model analysis[J].Investig Clin Urol,2018,59(2):112-118.
[11] 李东辉,王国任,汪智峰,等.经皮肾穿刺置管封堵联合输尿管镜治疗输尿管石街[J].中国微创外科杂志,2019,19(4):367-369.
[12] 赵瑜,魏建军,程文超.经皮肾镜联合输尿管镜气压弹道碎石治疗输尿管石街[J].中国微创外科杂志,2013,13(1):87-88.
[13] 袁平成,汪良,陈小刚,等.输尿管镜联合微创经皮肾镜或电子输尿管软镜治疗复杂性输尿管石街的临床应用[J].临床泌尿外科杂志,2014,29(9):797-799.
[14] 崔小健,丛桂成,姚庆祥.粗细输尿管镜联合治疗输尿管中下段石街的疗效分析[J].临床泌尿外科杂志,2018,33(7):575-577.
计量
- 文章访问数: 509
- PDF下载数: 200
- 施引文献: 0