[1]赖德辉 李名钊 盛明 李逊 何永忠 李天 徐桂彬 杨炜青.输尿管软镜治疗孤立肾鹿角状结石的疗效分析[J].中华腔镜泌尿外科杂志(电子版),2016,10(05):319-322.[doi:10.3877/cma.j.issn.1674-3253.2016.05.007 ]
　Lai Dehui,Li Mingzhao,Sheng Ming,et al.Safety and efficacy of retrograde intrarenal surgery for staghorn calculi in patients with solitary kidne[J].,2016,10(05):319-322.[doi:10.3877/cma.j.issn.1674-3253.2016.05.007 ]
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输尿管软镜治疗孤立肾鹿角状结石的疗效分析()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年05期
页码:
319-322
栏目:
临床研究
出版日期:
2016-11-05

文章信息/Info

Title:
Safety and efficacy of retrograde intrarenal surgery for staghorn calculi in patients with solitary kidne
作者:
赖德辉 1; 2李名钊 3盛明 1; 2李逊 1; 2何永忠 1; 2李天 1; 2徐桂彬 1; 2杨炜青 1; 2
510700广州医科大学附属第五医院泌尿外科 1；510700广州医科大学微创新技术和产品转化中心 2； 510630广州，中山大学附属第三医院泌尿外科 3
Author(s):
Lai Dehui1; 2;  Li Mingzhao3;  Sheng Ming1; 2;  Li Xun1; 2;  He Yongzhong1; 2;  Li Tian1; 2;  Xu Guibin1; 2;  Yang Weiqing1; 2.
Department of Urology, the Fifth Affiliated Hospital, Guangzhou Medical University, Guangzhou 510700, China; 2Minimally Invasive Technique and Product Translational Center, Guangzhou Medical University, Guangzhou 510700, China; 3Department of Urology, the Third Affiliated Hospital,SunYat-sen University, Guangzhou 510630, China
关键词:
孤立肾; 鹿角状结石; 输尿管镜
DOI:
10.3877/cma.j.issn.1674-3253.2016.05.007
摘要:
目的探讨输尿管软镜碎石取石术（ RIRS）治疗孤立肾鹿角状结石的安全性和有效性。方法回顾性分析 2014年 10月至 2015年 10月广州医科大学附属第五医院用 RIRS治疗 30例孤立肾鹿角状结石患者的临床资料，分析术后 1个月结石清除率及并发症情况。残留结石则采取再次 RIRS、体外冲击波碎石或经皮肾镜碎石取石术（ PCNL）。结果平均结石负荷：（628±27）mm2。其中 16例（ 53.3%）行一期 RIRS，12例（ 40%）需行二期 RIRS，2例（ 6.7%）二期行 PCNL。平均手术时间（84±21）min。术后住院时间 4~14d，中位数 6d。术后 1个月一期结石清除率 53.3%（16/30），总结石清除率 86.7%（26/30）。 1例术后因输尿管石街出现感染性休克和急性肾功能衰竭， 1例术后肾周尿源性脓肿，均治愈。术后发热 5例。无输血、输尿管穿孔、撕脱等并发症。总并发症发生率 23.3%（7/30）。结论对于孤立肾鹿角状结石，RIRS是一种可选的可靠和有效的手术方式。分期结合 PCNL有利于提高结石清除率和安全性。

参考文献/References:

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相似文献/References:

[1]朱建国,孙兆林,王元林,等.微创经皮肾镜术治疗孤立肾合并肾结石[J].中华腔镜泌尿外科杂志(电子版),2008,(01):52.
　ZHU Jian-guo,SUN Zhao-lin,WANG Yuan-lin,et al.Treatment of solitary kidney calculi with minimally invasive percutaneous nephrolithotomy[J].,2008,(05):52.

备注/Memo

备注/Memo:
通讯作者：赖德辉，Email：dehuilai@hotmail.com
更新日期/Last Update: 2016-10-30