输尿管软镜处理功能性独肾结石的临床疗效

输尿管软镜处理功能性独肾结石的临床疗效

张劲松１），石鑫１），杨嶠２），刘建和１），王光１），王辉涛１），叶淑华３），张恒１

）

（1）昆明医科大学第二附属医院泌尿外科三病区，云南昆明650101；２）云南省勐海县人民医院泌尿

外科，云南勐海666200；3）昆明医科大学第三附属医院资产管理部，云南昆明650106）

［摘要］目的探讨输尿管软镜处理功能性独肾结石的临床有效性和安全性，评估输尿管软镜在微创性处理

功能性独肾结石的应用价值．方法

回顾性分析24例采用输尿管软镜钬激光碎石处理功能性独肾结石的患者的

临床资料．全部患者中有男性19例，女性5例．肾结石中功能性独肾结石最少的为1颗结石，患者在全身麻醉下，通过术前留置输尿管双J 管2周后，用输尿管软镜功能性独肾多发结石．手术结束后常规留置双J 管．术后随访1个月，复查CT ，KUB 和肾功能，评估临床治疗效果．结果

全部患者通过1次或者多次手术，手术均顺

利完成．22例患者术后结石全部取尽．单次手术时间59～110min ，平均74±19min ．1例发生感染性休克，其他患者均无严重并发症发生，术后结合随访肾功能正常或较术前有改善，术后住院天数2～11d ．结论输尿管

软镜处理功能性独肾结石是一种安全有效的方法，能够保护肾功能，具有临床推广应用价值．

［关键词］输尿管软镜；功能性独肾；肾结石；疗效

［中图分类号］R692.4［文献标志码］A ［文章编号］2095－610X （2017）11－0062－04

Efficacy of Flexible Ureterorenoscopy in Treatment of

Functional Kidney Stones

ZHANG Jin-song １），SHI Xin １），YANG Qiao ２），LIU Jian-he １），WANG Guang １），WANG Hui-tao １）

，YE

Shu-hua ３），ZHANG Heng １

）

（1）Dept.of Urology ，The 2nd Affiliated Hospital of Kunming Medical University ；２）Dept.fo Urology ，The

People ’s Hospital of Menghai ，Menghai Yunnan 666200；３）Dept.of Asset Management ，The Third A ffiliated Hospital of Kunming Medical University Asset Management Department ，Yunnan Kunmin 650106，

China ）

［Abstract ］Objective To evaluate the clinical efficacy and safety of Flexible ureterorenoscopy in the

treatment of functional solitary kindey stones ，and evaluate the value of Flexible ureterorenoscopy in minimally invasive treatment of functional solitary kidney stones.Methods The clinical data of 24patients with functional solitary kidney stones treated with Flexible ureterorenoscopy holmium laser lithotripsy in our hospital were analyzed retrospectively.All patients were 19males and 5females.Kidney stones in the function of multiple kidney stones at least one stone.Patients with functional kidney stones,patients under general anesthesia,preoperative indwelling ureter double J tube after 2weeks,with soft ureteral function of multiple renal calculi.After the end of surgery conventional indwelling double J tube.All patients were followed up for 1month.CT,KUB and renal function were reviewed and clinical therapeutic effect was evaluated ．Results All the patients'operations ware completed successfully.No stone rate reached 92%.A single operation time was from 59to 110minutes ，with an average of （74±19）minutes.One male patients appeared septic shock ，there was no serious complications in other patients ，combining with follow-up after renal function.Postoperative renal function of patients was normal or improved than before.Postoperative hospital stay was 2to 11days.Conclusions Flexible ureterorenoscopy lithotripsy is a safe and

Journal of Kunming Medical University

CN 53-1221R

昆明医科大学学报2017，38（11）：62耀65

［基金项目］云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目（2017FB049）

［作者简介］张劲松（1972～），男，云南昆明市人，医学硕士，副主任医师，主要从事泌尿外科临床工作.［通信作者］石鑫．E-mail:shixin14678@ ；杨嶠E-mail:419801267@