摘要
目的 探讨局麻下微通道经皮肾镜取石术治疗复杂性输尿管上段结石的安全性及有效性.方法 回顾性分析2013年4月至2016年5月在局麻下行微通道经皮肾镜取石术治疗复杂性输尿管上段结石106例患者的临床资料.39例合并息肉或肉芽组织包裹行输尿管镜取石失败,28例结石远端输尿管扭曲或狭窄,16例行输尿管切开取石术后复发,23例行体外冲击波碎石术（extracorporeal shock wave lithotripsy,ESWL）效果较差.结果 106例患者手术均在局麻下顺利完成,结石总清除率为98.1％ （104/106）,一期取净结石101例,3例术中出血行二期取净结石,2例因输尿管穿孔行切开取石.结论 局麻下微通道经皮肾镜取石术治疗复杂性输尿管上段结石具有安全有效、创伤小、恢复快、结石清除率高等优点,值得临床推广运用.
Objective To evaluate the clinical safety and efficacy of microchannel percutaneous nephrolithotomy in treatment of complicated upper ureteral calculi under local anesthesia.Methods The clinical data of 106 cases with complicated upper ureteral calculi who were treated with microchannel percutaneous nephrolithotomy under local anesthesia from April 2013 to May 2016 were analyzed retrospectively.Thirty-nine cases with polyps of urethra or granulation tissue were failed in the ureteral lithotripsy,28 cases with distortion or stenosis of distal ureter.There were 16 cases of recrudescence after ureterolithotomy.Extracorporeal shock wave lithotripsy（ESWL） was ineffective in 23 cases.Results A total of 106 cases were successfully performed under local anesthesia.The total rate of clear of stone was 98.1％ （104/106）.Of the them,101 cases were treated on one session,3 cases underwent second surgery for stone removal because of intraoperative bleeding,2 cases were converted to open surgery as a result of ureteral perforation.Conclusions Microchannel percutaneous nephrolithotomy under local anesthesia is a method of safety and efficiency,less trauma,faster recovery,high removal rate of calculi,and is worth in clinical application.
出处
《国际泌尿系统杂志》
2018年第1期86-88,共3页
International Journal of Urology and Nephrology
关键词
输尿管结石
肾造口术
经皮
Ureteral Calculi
Nephrostomy,Percutaneous
