侧卧斜仰截石位行多镜联合治疗复杂性上尿路结石的临床探讨

盛明雄; 王德娟; 黄文涛; 雷华; 邱剑光

侧卧斜仰截石位行多镜联合治疗复杂性上尿路结石的临床探讨

- 1. 福建医科大学附属闽东医院泌尿外科(福建福安, 355000);
- 2. 中山大学附属第三医院泌尿外科

详细信息

通讯作者: 邱剑光,E-mail:qjg702@gmail.com

中图分类号: R691.4

收稿日期: 2012-02-24

Clinical study on the treatment of complicated upper urinary tract calculus by multiplex endoscopy under a single position of lateral oblique lithotomy position

- 1. Department of Urology, Mindong Hospital, Fuan, Fujian, 355000, China;
- 2. Department of Urology, the Third Affliated Hospital of Sun Yat-sen University

More Information

Corresponding author: QIU Jianguang, E-mail: qjg702@gmail.com

Received Date: 24 February 2012

摘要

摘要: 目的：探讨侧卧斜仰截石位单一体位使用输尿管镜、肾镜和腹腔镜治疗复杂性上尿路结石的有效性和安全性。方法：2010年7月~2011年7月对36例肾结石合并肾旋转不良、肾囊肿、同侧或对侧输尿管结石患者取侧卧斜仰截石位行多镜联合治疗。结果：36例均顺利完成手术，术后均未出现出血和感染等并发症。经KUB复查，一期手术肾结石清除率77.8%，输尿管结石清除率100%。术后住院4~9 d（平均6 d）。结论：侧卧斜仰截石位使用输尿管镜、肾镜和腹腔镜能更有效地处理各种复杂性上尿路结石。
- 尿路结石 /
- 斜仰截石位 /
- 输尿管镜 /
- 经皮肾镜 /
- 腹腔镜
Abstract: Objective: To assess the efficacy and safety of the treatment of complicated upper urinary tract calculus by combining ureteroscopy,Percutaneous nephrolithotomy and laparoscopy under a single position of lateral oblique lithotomy position.Method: From July 2010 to July 2011,36 patients with renal calculus,complicated with renal malrotation,renal cyst,homonymy or opposite ureter calculus,were treated by multiplex endoscopy under a single position of lateral oblique lithotomy position.Clinical data were retrospectively analyzed.Result: All patients were successfully operated.No case was punctured failurely.No case was converted to open operation.There were no complications of bleeding or infection.Calculus clearance rate of renal calculus was 77.8%,Calculus clearance rate of ureter calculus was 100%.The hospitalization days were 4-9 days.Conclusion: Combining ureteroscopy,Percutaneous nephrolithotomy and laparoscopy under a single position of lateral oblique lithotomy position was an effective way to deal with complicated upper urinary tract calculus.
- urinary tract calculus /
- oblique lithotomy position /
- ureteroscopy /
- percutaneous nephrolithotomy /
- laparoscopy

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参考文献(7)

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