输尿管软镜联合物理振动排石治疗大体积上尿路结石的临床观察

发布时间：2018-06-01 04:17

本文选题：输尿管软镜 + 物理振动排石　；参考：《中国内镜杂志》2017年11期

【摘要】：目的探讨输尿管软镜联合物理振动排石治疗大体积上尿路结石的临床价值。方法回顾性分析2016年2月-2017年3月在该中心行输尿管软镜联合物理振动排石治疗的62例大体积上尿路结石患者的临床资料,平均结石负荷为(656.70±275.40)mm2。观察结石的清除率,术中的一般情况,术后的不良反应及术后肾功能变化等情况。结果 62例患者均顺利完成输尿管软镜手术,1周后行物理振动排石治疗,次日结石排净率为61.29%(38/62),1周后排净率为85.48%(53/62),3周后排净率为96.77%(60/62)。其中2例出现术后发热,总并发症3.23%。18例术后肾功能好转,4例术后肾功能保持稳定。结论输尿管软镜联合物理振动排石治疗大体积上尿路结石清石率高,并发症少,对肾功能影响小,是一种安全有效的治疗方法,值得在临床推广应用。
[Abstract]:Objective to evaluate the clinical value of soft ureteroscopy combined with physical vibration lithotomy in the treatment of large volume upper urinary tract stones. Methods the clinical data of 62 patients with massive upper urinary tract calculi treated with soft ureteroscope combined with physical vibration lithotomy from February 2016 to March 2017 were retrospectively analyzed. The average stone load was 656.70 卤275.40 mm ~ 2. The rate of stone clearance, the general situation during operation, the adverse reaction after operation and the changes of renal function after operation were observed. Results all the 62 patients were successfully treated with physical vibration lithotripsy after 1 week of soft ureteroscopy. The rate of stone removal in the next day was 61.29%, 38 / 62%, 1 week later, 85.48% 53 / 62% and 3 weeks later, the rate was 96.77% 60 / 62%. There were 2 cases of postoperative fever and 3.23% of the total complications. 18 cases of postoperative renal function improved and 4 cases of postoperative renal function remained stable. Conclusion soft ureteroscopy combined with physical vibration lithotomy is a safe and effective method for the treatment of large volume upper urinary tract stones with high stone clearance, less complications and less influence on renal function. It is worth popularizing and applying in clinical practice.
【作者单位】：北大医疗株洲恺德医院-吴阶平泌尿外科株洲中心泌尿外科;
【分类号】：R699

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