摘要
目的:探讨负压组合镜联合输尿管软镜治疗2~3 cm肾结石的安全性和有效性。方法:2017年7月-2019年9月采用负压组合镜联合输尿管软镜治疗2~3 cm肾结石患者60例。所有患者均为单侧肾结石,结石大小2.1~3.0 cm,平均(2.6±0.2)cm。分析其结石清除率(SFR)、手术总体时间、围手术期并发症等临床资料。结果:56例(93.3%)患者成功行负压组合镜联合输尿管软镜碎石取石手术,4例(6.7%)患者因留置镜鞘失败改行经皮肾镜取石术。一期SFR为92.9%,手术总体时间39~107 min,平均(56.4±13.4)min。术后发热患者5例,无输尿管穿孔、严重血尿、严重脓毒血症及石街形成发生。结论:负压组合镜联合输尿管软镜治疗2~3 cm肾结石安全有效,结石清除率高,并发症少,创伤小,患者术后恢复快。
Objective:To explore the safety and efficacy of negative pressure composite ureteroscope combined with flexible ureteroscopy in the treatment of renal stones between 2 and 3 cm.Methods:From July 2017 to September 2019,60 patients with 2-3 cm renal stones were treated with negative pressure composite ureteroscope combined with flexible ureteroscopy.All patients had unilateral renal stones with a stone diameter of 2.1 to 3.0 cm(mean,2.6±0.2 cm).The clinical data including stone-free rate(SFR),total operation time and complications in perioperative period were analyzed.Results:56 patients(93.3%)were successfully treated by negative pressure composite ureteroscope combined with flexible ureteroscopy,and 4 patients(6.7%)underwent percutaneous nephrolithotomy due to failure of indwelling ureteral access sheath.The SFR of the first stage was 92.9%,and the total operation time was39.0 to 107.0 min(mean,56.4±13.4 min).After operation,5 patients developed fever,and no such complications as ureter perforation,severe hematuria,severe sepsis and stone street formation occurred.Conclusion:Negative pressure composite ureteroscope combined with flexible ureteroscopy is safe and effective in the treatment of renal stones between 2 and 3 cm.This method has the advantages of high SFR,less complications,less trauma and the patient recovers quickly after operation.
作者
李金
刘伟
郑亮亮
王锶
龚智娴
邓君
LI Jin;LIU Wei;ZHENG Liangliang;WANG Si;GONG Zhixian;DENG Jun(Department of Urology,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Day Care,the First Affiliated Hospital of Nanchang University;Depart⁃ment of Urology,Nanchang KangDe Hospital)
出处
《微创泌尿外科杂志》
2020年第3期171-175,共5页
Journal of Minimally Invasive Urology
关键词
输尿管软镜
负压组合镜
钬激光碎石术
肾结石
negative pressure composite ureteroscope
ureteroscopy
Holmium laser lithotripsy
renal stones
作者简介
通信作者:邓君,dengjun2004@163.com
