特殊类型肾结石应用输尿管软镜治疗的初步研究

发布时间：2018-03-16 06:30

本文选题：输尿管软镜　切入点：钬激光　出处：《重庆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:研究特殊类型肾结石应用输尿管软镜钬激光碎石术(flexible ureteroscopy combined holmium laser lithotripsy,f-URS)治疗的有效性和安全性。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(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:特殊类型肾结石应用输尿管软镜治疗有效、安全。
[Abstract]:Objective: to study the efficacy and safety of flexible ureteroscopy combined holmium laser lithotripsy in the treatment of special type renal calculi. Methods: from January 2014 to August 2015, 22 patients treated with f-URS in our hospital were retrospectively analyzed. Patients with special types of kidney stones, There were 2 cases of obesity, 1 case of scoliosis, 1 case of pelvic ectopic kidney, 2 cases of incomplete ureteral malformation, 5 cases of renal calyceal diverticulum, 10 cases of single kidney and 2 cases of horseshoe kidney. The mean size of stone was 1.50 卤0.82 cm 路min. Before operation, 10 cases had white blood cell count 500 / 渭 l and 6 cases complicated with renal insufficiency. Results 21 cases of horseshoe kidney were successfully detected and comminuted by soft endoscopy during operation. Stone. Average gravel count 1.3, The mean operation time was 66 卤24 minutes, the average postoperative hospitalization time was 1.73 卤1.15 days after operation, the postoperative fever was cured by intravenous antibiotics, and 3 cases had residual stones 4 weeks after operation. Conclusion: soft ureteroscopy is effective and safe in the treatment of special type of renal calculi.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R699.2

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