摘要
目的评价负压组合镜治疗肾结石的临床疗效及安全性。方法采用负压组合镜治疗482例肾结石患者,其中单发肾结石327例,多发肾结石155例,73例合并输尿管上段结石;结石最大径(18.03±8.27)mm。对手术过程及结石清除率(SFR)、并发症等进行评价。结果444例一期顺利进镜完成手术,38例患者因输尿管狭窄留置D-J管1个月后顺利行手术。手术时间(35.7±14.1)分钟,术后住院(1.8±0.8)天。术后第1天SFR为87.6%(422/482),术后1个月SFR为96.1%(463/482)。术后发热4.8%(23/482),输尿管穿孔0.2%(1/482),石街形成0.4%(2/482),无严重脓毒血症、肾周血肿发生。结论负压组合镜治疗肾结石安全、有效。
Objective To evaluate the efficiency and safety of negative pressure combined with ureteroscopy（NPCU） in the treatment of kidney stones. Methods The data of 482 patients who under- went NPCU for the treatment of kidney stones were collected. There were 327 cases of single kidney stone, 155 cases of multiple kidney stones and 73 cases complicated with upper ureteric stones in these cases. The larges stone diameter were （ 18.03 ± 8.27 ） mm. The operation process and stone clearance rate （SFR） ,complications were observed. Results 444 operations were completed successfully at one time. 38 ureteral stricture cases completed the operations successfully one month later after retained the D-J tube. The operation duration was（ 35.7 ± 14.1 ） min, hospitalization days after operation were （ 1.8 ± 0.8 ） days. The SFR in the first day after operation was 87.6% （422/482）and 96.1% （463/482） after one month. Fever rate after operation was 4.8% （23/482）, ureteral perforation rate was 0.2% （ 1/482）, stone street formation rate was O. 4% （2/482）. No severe spesis and perirenal hematoma happened. Conclusion NPCU is a safe and effective treatment for kidney stones.
作者
甘澍
周均洪
廖芝健
王树声
唐炎权
古炽明
翁湘涛
何君伟
GAN Shu ZHOU Junhong LIAO Zhijian et al(Department of Urology, Guangdong Provincial TCM hospi- tal, Guangzhou 510120, China)
出处
《临床外科杂志》
2017年第2期104-106,共3页
Journal of Clinical Surgery
关键词
负压组合镜
肾结石
结石清除率
并发症
negative pressure combined with ureteroscopy
kidney calculi
stone free rate
complications
