输尿管软镜在治疗体外冲击波碎石失败的飞行员肾脏小结石中的应用

发布时间：2018-10-29 18:33

【摘要】：目的观察输尿管软镜技术在治疗体外碎石失败的飞行员肾脏小结石中的效果。方法回顾性分析2 0 0 6年10月—2 015年9月空军总医院采用体外冲击波碎石治疗失败后进行输尿管软镜手术的26例肾脏小结石飞行员病例资料。结果术前CT提示肾脏小结石,结石长径0.2~0.8 cm,先行最多3次体外碎石,其中12例患者镜下发现结石,采用激光光纤将肾脏小结石击碎,部分结石碎片采用套石网篮取出,部分结石碎屑术后经尿路自行排出;14例患者镜下确诊肾乳头黏膜下钙化,未予特殊处理。26例飞行员均医学鉴定飞行合格,术后随访6~24个月,所有飞行员均安全飞行,肾乳头钙化斑较术前未见明显变化。结论对于体外碎石治疗失败的飞行员上尿路结石,输尿管软镜手术是安全有效的治疗手段,可帮助飞行员重返飞行岗位。
[Abstract]:Objective to observe the effect of soft ureteroscopy in the treatment of small renal calculi in pilots with failure of extracorporeal lithotripsy. Methods from October 2006 to September 2005, 26 cases of pilots with small kidney stones who were treated with extracorporeal shock wave lithotripsy (ESWL) were retrospectively analyzed. Results CT showed that the renal stones were small before operation. The length of stones was 0.20.80 cm,. The stones were found in 12 patients under microscope. The small renal stones were crushed by laser fiber. Part of the stone fragments were removed by the stone basket, and some of the stone fragments were excreted automatically through the urinary tract after operation. 14 cases of renal papillary submucosal calcification were diagnosed under microscope without special treatment. 26 pilots were medically qualified and were followed up for 6 ~ 24 months. All the pilots flew safely and the plaque of renal papillary calcification was not changed significantly. Conclusion soft ureteroscopy is a safe and effective treatment for upper urinary calculi in pilots who have failed to be treated with extracorporeal lithotripsy.
【作者单位】：空军总医院全军泌尿微创诊疗中心;
【基金】：全军后勤科研“十二五”重大项目(AKJ11J004) 空军后勤科研项目(BKJ13J030) 全军医学科技青年培育项目(14QNP066)
【分类号】：R856

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