[1]邵建国 侯飓* 宋飞 赵谦 郭环宇 黄伟 韩增箎.上尿路胱氨酸结石诊治22例报告[J].中国微创外科杂志,2015,15(7):622-627.
　Shao Jianguo,Hou Ju,Song Fei,et al.Diagnosis and Treatment of Upper Urinary Cystine Calculi: a Report of 22 Cases[J].Chinese Journal of Minimally Invasive Surgery,2015,15(7):622-627.
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上尿路胱氨酸结石诊治22例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年7期
页码:
622-627
栏目:
临床研究
出版日期:
2015-07-20

文章信息/Info

Title:
Diagnosis and Treatment of Upper Urinary Cystine Calculi: a Report of 22 Cases
作者:
邵建国 侯飓* 宋飞 赵谦 郭环宇 黄伟 韩增箎
（山东中医药大学第二附属医院泌尿外科，济南250001）
Author(s):
Shao Jianguo;  Hou Ju;  Song Fei;  et al.
Department of Urology, Second Affiliated Hospital of Shandong University of Chinese Medicine, Jinan 250001，China
关键词:
胱氨酸结石; 经皮肾镜碎石清石术; 体外冲击波碎石; 溶石
Keywords:
Cystine calculi; Percutaneous nephrolithotomy lithotripsy(PCNL); Extracorporeal shock wave lithotripsy; Litholytic therapy
分类号:
R692.4
文献标志码:
A
摘要:
目的探讨上尿路胱氨酸结石的诊治方法。方法2005年3月~2013年3月治疗22例上尿路胱氨酸结石，其中肾脏铸型结石10例，肾多发结石9例，肾多发结石合并输尿管结石3例，8例仅行经皮肾镜碎石清石术（percutaneous nephrolithotomy lithotripsy，PCNL），3例行PCNL+输尿管镜碎石术（ureteroscopic lithotripsy，URL），9例行PCNL+体外冲击波碎石（extracorporeal shock wave lithotripsy，ESWL）+经肾造瘘管肾盂内灌注氨基丁三醇E（THAME）溶石，2例仅行ESWL。结果17例结石完全清除，5例结石残留，清石清除率77.2%（17/22），无严重并发症发生。22例随访6~36个月，平均24个月，3例结石复发，5例结石残留中4例结石体积增大。结论PCNL联合ESWL及药物溶石治疗上尿路复杂胱氨酸结石，结石清除效果满意。
Abstract:
ObjectiveTo evaluate diagnosis and treatment of upper urinary cystine calculi.MethodsWe retrospectively analyzed clinical data of 22 patients with upper urinary cystine calculi from March 2005 to March 2013. There were 10 cases of staghorm calculi, 9 cases of multiple calculi, and 3 cases of upper ureteral calculi combined with multiple renal calculi. Eight patients underwent PCNL only, 3 patients underwent PCNL+URL, 9 patients underwent PCNL+ESWL+litholytic therapy with THAME perfusing into renal pelvis through nephrostomy tubes, and 2 patients underwent ESWL only.ResultsThe calculi completely disappeared in 17 cases (77.2%), while residual stones occurred in 5 cases, the clearance rate being 77.2% (17/22). No major complications were noted. All the 22 patients were followed up for 6-36 months, with an average of 24 months. Recurrence of calculi was found in 3 cases, and calculi enlarged with different degree in 4 out of 5 cases of residual stones.ConclusionCombination of PCNL, ESWL, and litholytic therapy has good effects in the treatment of complicated renal cystine calculi.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，Email：houdg2005@aliyun.com
更新日期/Last Update: 2016-01-04