[1]平秦榕①,王应东②,柯昌兴,等.组合式输尿管软镜联合钬激光治疗肾结石：158例报告[J].中国微创外科杂志,2018,18(6):531-534.
　Ping Qinrong,Wang Yingdong,Ke Changxing*,et al.Clinical Experience of Modular Flexible Ureteroscopy Combined With Holmium Laser Lithotripsy for Renal Calculi: Report of 158 Cases[J].Chinese Journal of Minimally Invasive Surgery,2018,18(6):531-534.
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组合式输尿管软镜联合钬激光治疗肾结石：158例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年6期
页码:
531-534
栏目:
临床研究
出版日期:
2018-09-30

文章信息/Info

Title:
Clinical Experience of Modular Flexible Ureteroscopy Combined With Holmium Laser Lithotripsy for Renal Calculi: Report of 158 Cases
作者:
平秦榕①; 王应东②; 柯昌兴; 韦海荣; 詹辉; 王宇扬; 陈戬; 颜汝平**
昆明医科大学第二附属医院泌尿外科云南省泌尿外科研究所，昆明650101
Author(s):
Ping Qinrong;  Wang Yingdong;  Ke Changxing*;  et al.
*Department of Urology, Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
关键词:
肾结石; 输尿管软镜; 钬激光
Keywords:
Renal calculi; Flexible ureteroscopy; Holmium laser
文献标志码:
A
摘要:
目的探讨组合式输尿管软镜联合钬激光治疗肾结石的临床疗效。方法回顾性分析2012年3月~2016年7月组合式输尿管软镜联合钬激光治疗158例肾结石的临床资料，结石均位于单侧，单发结石132例，多发结石26例，158例共193枚结石，单个结石直径1.0~2.0 cm，（1.4±0.6）cm。使用德国铂立组合式输尿管软镜，寻及结石后用200 μm科医人钬激光光纤碎石。 结果术中结石寻及率95.9%（185/193），8例8枚未寻及结石均位于肾下盏。手术时间30~100 min，（45.1±10.3）min。无输尿管撕脱、穿孔、尿外渗、肾周脓肿等并发症。Ⅰ期手术碎石成功率89.2%（141/158）（无直径≥4 mm残石）。术后4周复查KUB或CT，结石排净率98.6%（139/141）。结论组合式输尿管软镜联合钬激光治疗直径1~2 cm肾结石安全、有效，具有创伤小、可拆卸、碎石成功率高、并发症发生率低的优点。
Abstract:
ObjectiveTo evaluate the clinical efficacy of modular flexible ureteroscopy combined with holmium laser lithotripsy for the treatment of renal calculi.MethodsWe analyzed the clinical data of 158 patients undergoing modular flexible ureteroscopy combined with holmium laser lithotripsy for renal calculi from March 2012 to July 2016 in our hospital retrospectively. The calculi were all unilateral, including 132 cases of single calculi and 26 cases of multiple calculi. There were a total of 193 calculi in the 158 cases. The diameter of calculi ranged from 1.0 to 2.0 cm ［mean, (1.4±0.6) cm］. The modular flexible ureteroscopy was used to find calculus and 200 μm holmium laser fiber was applied for lithotripsy.ResultsThe stones were not identified in 8 cases of 8 lower calyx stones, while the rest of 185 calculi were successfully found. The calculi access rate was 95.9% (185/193). The operation time was 30-100 min ［mean, (45.1±10.3) min］. No severe complications happened intraopratively or postopratively, such as ureteral avulsion, rupture or perforation, urinary extravasations or perinephric abscess. The lithotripsy success rate was 89.2% (141/158) for one-stage operation (no stones with a diameter ≥ 4 cm). The KUB or CT examinations after 4 weeks of operation showed a calculus clearance rate of 98.6% (139/141).ConclusionThe modular flexible ureteroscopy combined with holmium laser lithotripsy is a safe and effective method for the treatment of renal calculi with a diameter of 1.0-2.0 cm. They are characterized with less invasion, detachable performance, high lithotripsy success rate and lower complication rates.

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备注/Memo

备注/Memo:
基金项目：云南省科技惠民专项（2017RA017）；云南省医疗卫生单位内设机构科研项目（2016NS316）**通讯作者，E-mail：yanruping2002@126.com①现工作单位：昆明医科大学附属延安医院泌尿外科昆明市泌尿系结石病微创诊疗技术中心，昆明650051②（云南省文山州中医院外科，文山663000）
更新日期/Last Update: 2018-09-30