[1]王磊,马松,张先云,等.孙氏末段可弯硬性输尿管肾镜联合钬激光治疗肾和输尿管上段结石[J].中华腔镜泌尿外科杂志(电子版),2017,11(02):126-128.[doi:10.3877/cma.j.issn.1674-3253.2017.02.012 ]
 Wang Lei,Ma Song,Zhang Xianyun,et al.Sun's tip-flexible ureterorenoscopy combined with holmium laser lithotripsy for renal and upper ureter calculi[J].,2017,11(02):126-128.[doi:10.3877/cma.j.issn.1674-3253.2017.02.012 ]
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孙氏末段可弯硬性输尿管肾镜联合钬激光治疗肾和输尿管上段结石()
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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:
126-128
栏目:
临床研究
出版日期:
2017-04-30

文章信息/Info

Title:
Sun's tip-flexible ureterorenoscopy combined with holmium laser lithotripsy for renal and upper ureter calculi
作者:
王磊马松张先云李乾姜福金
223002 江苏省淮安市第二人民医院泌尿外科
Author(s):
Wang Lei Ma Song Zhang Xianyun Li Qian Jiang Fujin
Department of Urology, the Second People's Hospital of Huai'an City, Jiangsu 223002, China
关键词:
孙氏镜输尿管软镜钬激光结石
DOI:
10.3877/cma.j.issn.1674-3253.2017.02.012
摘要:
目的评价孙氏末段可弯硬性输尿管肾镜(简称孙氏镜)联合钬激光治疗上尿路结石的疗效、安全性及操作技巧。方法回顾性分析我院收治的 82例孙氏镜钬激光治疗肾和输尿管上段结石的临床资料。其中男 52例( 63.4%),女 30例( 36.6%)。输尿管上段结石 26例( 31.7%),肾结石 56例(68.3%)。患者年龄( 37±11)岁,结石大小( 1.4±0.6)cm。术前均经彩超、CT或静脉肾盂造影诊断为肾或输尿管上段结石,分析该术式的手术时间、术中并发症及结石清除率等。结果孙氏镜单次进镜成功率 95.1%(78/82),4例患者因输尿管膀胱开口处狭窄或输尿管扭曲无法进镜改为腹腔镜取石或经皮肾镜碎石( PCNL)。钬激光碎石成功率 97.4%(76/78),术后 4周结石清除率 96.1%(73/76),3例残余结石经体外冲击波碎石( ESWL)后治愈,所有患者未出现严重并发症。结论孙氏镜联合钬激光治疗肾和输尿管上段结石安全可靠、结石清除率高、并发症低。

参考文献/References:

[1] 周逢海 ,吕海迪 ,郭秀全 ,等.经尿道输尿管软镜钬激光治疗肾和输尿管上段结石[J/CD].中华腔镜泌尿外科杂志:电子版 , 2014, 8(2): 21-24.
[2] Perez Castro E, Osther PJ, Jinga V, et al. Differences in ureteroscopic stone treatment and outcomes for distal, mid-, proximal, or multiple ureteral locations: the clinical research office of the endourological society ureteroscopy global study[J]. Eur Urol, 2014, 66(1): 102-109.
[3] Yinghao S, Yang B, Gao X. The management of renal caliceal calculi with a newly designed ureteroscope: a rigid ureteroscope with a deflectable tip[J]. J Endourol, 2010, 24(1): 23-26.
[4] Turk C, Knoll T, Petrik A, et al. EAU Guidelines on Interventional Treatment for Urolithiasis[J]. Eur Urol, 2016,69(3): 475-482.
[5] 徐又新,段建利,周向军.体外冲击波碎石、输尿管软镜及经皮肾镜治疗 1~2cm肾盂结石疗效比较 [J].国际泌尿系统杂志 , 2014, 34(6): 826-828.
[6] 李旭明 ,郭闯 ,程洪林 ,等.可拆卸组合式输尿管软镜钬激光碎石术治疗上尿路结石 [J/CD].中华腔镜泌尿外科杂志 :电子版 , 2016, 10(5): 29-32.
[7] Siev M, Motamedinia P, Leavitt A, et al. Safety of percutaneous nephrolithotomy in patients on antithrombotic therapy: a review of guidelines and recommendations [J]. Minerva Urol Nefrol, 2015, 67(4): 303-315.
[8] 于春虎 ,王莹 ,沙可夫 ,等.软镜钬激光治疗上尿路结石的技巧及疗效分析 [J/CD].中华腔镜外科杂志 :电子版 , 2016, 9(3): 142-145.
[9] 杨建军,杨关天,周翔.组合式输尿管软镜治疗输尿管上段结石 17例 [J/CD].中华临床医师杂志 :电子版 , 2013, 7 (13): 6141-6142.
[10] 张华明 ,张家伟 ,苏容万 ,等.末端可弯输尿管镜联合钬激光治疗上尿路结石的应用体会[J].中华泌尿外科杂志 , 2016, 37(11): 872-873.
[11] Galal EM, Anwar AZ, El-Bab TK, et al. Retrospective comparative study of rigid and flexible ureteroscopy for treatment of proximal ureteral stones [J]. Int Braz J Urol, 2016, 42(5): 967-972.
[12] Aboutaleb H. Fluoroscopy free flexible ureteroscopy with holmium: Yttrium-aluminium-garnet laser lithotripsy for removal of renal calculi[J]. Arab J Urol, 2016, 14(2): 123-130.
[13] 李凌 ,高小峰 ,彭泳涵 ,等.孙氏末端可弯硬性输尿管肾镜的体外测试和动物实验 [J].中华泌尿外科杂志 , 2015, 36 (5): 371-375.
[14] Gao X, Zeng G, Chen H, et al. A novel ureterorenoscope for the management of upper urinary tract stones: initial experience from a prospective multicenter study [J]. J Endourol, 2015, 29 (6): 718-724.
[15] Geavlete P, Rassweiler J, Klein J, et al. MP22-18 the volumetric evaluation of multicentric results of robot assisted flexible ureteroscopy[J]. J Urol, 2016, 195(4): e259-e260.

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备注/Memo

备注/Memo:
通讯作者:姜福金,haeyhuanghe@126.com
更新日期/Last Update: 2017-04-20