[1]崔振宇,杨文增,周洪月,等.多种微创手术治疗第4腰椎水平输尿管结石的对比研究[J].中华腔镜泌尿外科杂志(电子版),2017,11(02):122-125.[doi:10.3877/cma.j.issn.1674-3253.2017.02.011 ]
　Cui Zhenyu,Yang Wenzeng,Zhou Hongyue,et al.Comparative study of a variety of minimally invasive surgeries for ureteral calculi of the fourth lumbar vertebrae[J].,2017,11(02):122-125.[doi:10.3877/cma.j.issn.1674-3253.2017.02.011 ]
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多种微创手术治疗第4腰椎水平输尿管结石的对比研究()
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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:
11
期数:
2017年02期
页码:
122-125
栏目:
临床研究
出版日期:
2017-04-30

文章信息/Info

Title:
Comparative study of a variety of minimally invasive surgeries for ureteral calculi of the fourth lumbar vertebrae
作者:
崔振宇; 杨文增; 周洪月; 魏若晶; 马涛; 张伟; 李昱; 师晓强
071000保定，河北大学附属医院泌尿外科
Author(s):
Cui Zhenyu;  Yang Wenzeng;  Zhou Hongyue;  Wei Ruojing;  Ma tao;  Zhang Wei;  Li Yu;  Shi Xiaoqiang.
Department of Urology, the Affiliated Hospital of Hebei University, Bao Ding 071000, China
关键词:
经皮肾镜; 输尿管镜; 输尿管软镜; 输尿管结石
DOI:
10.3877/cma.j.issn.1674-3253.2017.02.011
摘要:
目的探讨提高第 4腰椎水平输尿管结石治疗效果的方法。方法回顾性分析 2009年 7月至 2016年 3月我科收治的 358例第 4腰椎水平的输尿管结石患者的临床资料，行微创经皮肾镜碎石取石术（ MPCNL）187例、经尿道输尿管镜手术（ URL）86例、经皮肾穿刺造瘘联合经尿道输尿管镜碎石术 23例、经尿道输尿管软镜手术（ RIRS）62例，对其治疗效果及并发症进行分析。结果 187例行 MPCNL，一次清石率 96.3%，86例行 URL，一次清石率 90.7%，残留结石均经体外冲击波碎石（ ESWL）及排石治疗后全部排出， 23例行经皮肾穿刺造瘘联合经尿道输尿管镜碎石术，一次清石率 100%，62例行 RIRS，一次清石率 100%。RIRS组恢复最快，住院时间最短。无输血、输尿管穿孔等，随访 1~12个月，未出现大出血、输尿管狭窄等严重并发症。结论治疗第 4腰椎水平输尿管结石可采用 MPCNL、URL、RIRS，部分难治性病例可考虑应用经皮肾穿刺造瘘联合经尿道输尿管镜碎石术，随着软镜技术的开展，RIRS可作为伴轻中度肾积水的第 4腰椎水平输尿管结石的首选。

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备注/Memo

备注/Memo:
通讯作者：杨文增，Email：hdfymnwk@163.com
更新日期/Last Update: 2017-04-20