[1]陶水祥* 詹传传 高珂 张浩杰 任煜 沈翀 王少波 应向荣 阎家骏.外置输尿管导管的无管化微通道经皮肾镜取石术(附21例报告)[J].中国微创外科杂志,2023,01(12):950-953.
　Tao Shuixiang,Zhan Chuanchuan,Gao Ke,et al.External Ureteral Catheterization of Tubeless Minipercutaneous Nephrolithotomy: Report of 21 Cases[J].Chinese Journal of Minimally Invasive Surgery,2023,01(12):950-953.
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外置输尿管导管的无管化微通道经皮肾镜取石术(附21例报告)()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年12期
页码:
950-953
栏目:
经验交流
出版日期:
2023-12-25

文章信息/Info

Title:
External Ureteral Catheterization of Tubeless Minipercutaneous Nephrolithotomy: Report of 21 Cases
作者:
陶水祥* 詹传传 高珂 张浩杰 任煜 沈翀 王少波 应向荣 阎家骏
(浙江省绍兴市人民医院泌尿外科，绍兴312000)
Author(s):
Tao Shuixiang;  Zhan Chuanchuan;  Gao Ke;  et al.
Department of Urology, Shaoxing People’s Hospital, Shaoxing 312000, China
关键词:
外置输尿管导管; 无管化; 经皮肾镜术; 单发结石
Keywords:
External ureteral catheter; Tubeless; Percutaneous nephrolithotomy; Single calculus
文献标志码:
B
摘要:
目的评价外置输尿管导管的无管化微通道经皮肾镜取石术(minipercutaneous nephrolithotomy，miniPCNL)治疗单发泌尿系结石的有效性、安全性。方法回顾性分析2021年6月~2022年12月无管化miniPCNL治疗21例单发肾、输尿管上段结石的资料。肾结石16例，输尿管上段结石5例，结石长径1.5~3.5 cm，(2.07±0.56)cm。先经膀胱镜留置输尿管导管后留置导尿，并将输尿管导管和导尿管固定，行miniPCNL后无残留结石，则撤除Peelaway鞘，缝合切口。结果手术均顺利完成，术后3~5 d拔除导尿管及输尿管导管后出院。术后均有轻微肉眼血尿，发热3例，肾周血肿4例，无尿外渗。出院后1个月复查B超或CT平扫，未见结石，肾周无尿囊肿和血肿形成。结论对于经过选择的病例(单发，非鹿角形结石，术中无结石残留，无输尿管狭窄)，外置输尿管导管无管化miniPCNL安全有效。
Abstract:
ObjectiveTo evaluate the efficacy and safety of external ureteral catheterization of tubeless minipercutaneous nephrolithotomy (miniPCNL) in the treatment of single urinary calculus.MethodsClinical data of 21 patients with single renal or upper ureteral calculi treated with tubeless miniPCNL from June 2021 to December 2022 were retrospectively analyzed. Among them, there were 16 cases of kidney stones and 5 cases of upper ureteral stones. The length of stones was 1.5-3.5 cm (mean, 2.07±0.56 cm). The ureteral catheter was indwelled by cystoscope and retained for catheterization, and the ureteral catheter and catheterization were fixed. If there were no residual stones after miniPCNL, the Peelaway sheath was removed and the incision was sutured.ResultsAll the operations were successfully completed, and the catheterization and ureteral catheter were removed 3-5 days after operation. There were slight gross hematuria in all the cases, fever in 3 cases, perirenal hematoma in 4 cases, and no urinary extravasation postoperatively. One month after discharge, Bultrasonography or CT scanning showed no lithiasis, urinary cyst or hematoma formation around the kidney.ConclusionIn selected cases (single and nonstaghorn stones, without intraoperative stone residue or ureteral stenosis), external ureteral catheterization of tubeless miniPCNL is safe and effective.

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备注/Memo

备注/Memo:
*通讯作者，Email：tsxtgq@163.com
更新日期/Last Update: 2024-04-03