[1]何永忠,黄晨,赖德辉,等.负压吸引工作鞘在输尿管软镜处理>2 cm肾结石的初步应用[J].中华腔镜泌尿外科杂志(电子版),2017,11(04):237-240.[doi:10.3877/cma.j.issn.1674-3253.2017.04.006 ]
　He Yongzhong,Huang Chen,Lai Dehui,et al.The clinical application of negative pressure ureteral access sheath in retrograde intrarenal surgery[J].,2017,11(04):237-240.[doi:10.3877/cma.j.issn.1674-3253.2017.04.006 ]
点击复制

负压吸引工作鞘在输尿管软镜处理>2 cm肾结石的初步应用()
分享到：

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04期
页码:
237-240
栏目:
临床研究
出版日期:
2017-08-31

文章信息/Info

Title:
The clinical application of negative pressure ureteral access sheath in retrograde intrarenal surgery
作者:
何永忠1; 2; 黄晨1; 2; 赖德辉1; 2; 李名钊3; 盛明1; 2; 刘兴1; 2; 徐煜宇1; 2; 梁健1; 2; 李逊1; 2
510700 广州医科大学附属第五医院泌尿外科1；510700 广州医科大学微创外科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):
He Yongzhong1; 2;  Huang Chen1; 2;  Lai Dehui1; 2;  Li Mingzhao3;  Sheng Ming1; 2;  Liu Xing1; 2;  Xu Yuyu1; 2;  Liang Jiang1; 2;  Li Xun1; 2.
1Department 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, Sun Yat-sen University, Guangzhou 510630, China
关键词:
输尿管软镜;  肾结石;  负压;  吸引鞘
DOI:
10.3877/cma.j.issn.1674-3253.2017.04.006
摘要:
目的 探讨负压吸引工作鞘（NPUAS）在输尿管软镜处理>2 cm 肾结石的临床价值。方法 回顾性分析广州医科大学附属第五医院泌尿外科2016 年8 月至2017 年2 月，应用NPUAS 行输尿管软镜碎石术的25 例肾结石患者的临床资料。分析手术时间、结石清除率，术后并发症发生率等数据。结果 所有患者Ⅰ期均能成功置入NPUAS，并成功找到结石，完成碎石。结石直径2.0～3.0 cm，平均（2.3±0.3）cm。手术时间35～98 min，平均（64±16）min；术后平均住院时间（4.1±1.7） d。术后1 个月结石清除率92.0%（23/25）。总并发症率8%（2/25）。术后发热2 例，体温<38.5℃，予加强抗感染对症处理后痊愈。无大出血、输尿管石街、撕脱、穿孔等并发症发生。结论 输尿管软镜联合负压吸引工作鞘治疗肾2～3 cm 结石安全有效。

参考文献/References:

[1] 那彦群, 叶章群, 孙光. 中国泌尿外科疾病诊断治疗指南手册[M].北京: 人民卫生出版社, 2011.
[2] 中华医学会泌尿外科分会. 中国泌尿系结石联盟. 软性输尿管镜术中国专家共识[J]. 中华泌尿外科杂志, 2016, 37(8): 561-565.
[3] Sari S, Ozok HU, Cakici MC, et al. A comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy for management of renal stones ≥ 2 CM[J]. J Urol, 2017, 14(1): 2949-2954.
[4] Alenezi H, Denstedt JD. Flexible ureteroscopy: Technological advancements,current indications and outcomes in the treatment of urolithiasis[J]. Asian J Urol, 2015, 2(3): 133-141.
[5] Sanguedolce F, Liatsikos E, Verze P, et al. Use of flexible ureteroscopy in the clinical practice for the treatment of renal stones: results from a large European survey conducted by the AEU young academic urologists-working party on endourology and urolithiasis[J]. Urolithiasis, 2014, 42(4): 329-334.
[6] Oguz U, Resorlu B, Ozyuvali E, et al. Categorizing intraoperatvie complications of retrograde intrarenal surgery[J]. Urol Int, 2104,92(2): 164-168.
[7] 邓小林, 宋乐明, 钟久庆, 等. 可智能监控肾盂内压的输尿管软镜吸引取石术的临床应用[J]. 中华泌尿外科杂志, 2016, 37(5): 385-388.
[8] Zeng G, Wan S, Zhao Z, et al. Super-mini percutaneous nephrolithotomy (SMP): a new concept in technique and instrumentation[J]. BJU Int, 2016, 117(4): 655-661.
[9] 高小峰, 李凌, 彭泳涵, 等. 输尿管软镜联合钬激光治疗2-4cm 肾结石疗效分析[J]. 微创泌尿外科杂志, 2013, 2(1): 47-49.
[10] Aboumarzouk OM, Monga M, Kata SG, et al. Flexible ureteroscopy and laser lithotripsy for stones >2 cm: a systematic review a nmdetaanalysis[J]. J Endourol, 2012, 26(10): 1257-1263.
[11] Palmero JL, Durán-Rivera AJ, Miralles J, et al. Comparative study for the efficacy and safety of percutaneous nefhrolithotomy (PNCL) and retrograde intrarenal surgery (RIRS) for the treatment of -23,5 cm kidney stones[J]. Arch Esp Urol, 2016, 69(2): 67-72.
[12] AL-QAHTANI SM ,GIL-DEIZ-DE-MEDINA S,TRAXER O.Predictors of clinical outcomes of flexible ureterorenoscopy with holmium laser for renal stone greater than c2m.[J]. Adv Urol, 2012,2012(1687-6369): 543537.
[13] Takazawa R, Kitayama S, Tsujii T. Successful outcome of flexible ureteroscopy with Holmium laser lithotripsy for renal stones 2&emsp;cm or greater[J]. Int J Urol, 2012, 19(3): 264-267.
[14] Inoue T, Murota T, Okada S, et al. Influence of pelvicalicealn aatomy on stone clearance after flexible ureteroscopy and Holmium laser lithotripsy for large renal stones[J]. J Endourol, 2015, 29(9) :998-1005.
[15] Jung H, Osther PJ. Intraluminal pressure profiles during flexilbe ureterorenoscopy[J]. Springerplus, 2015, 4(1): 1-5.
[16] Ba? O, Tuygun C, Dede O, et al. Factors affecting complication rates of retrograde flexible ureterorenoscopy: analysis of 1571 procedures-a single-center experience[J]. World J Urol, 2017, 53(5):819-826.
[17] 钟文, 曾国华, 杨后猛, 等. 微创经皮肾镜取石术中肾盂内压变化对术后发热的影响[J]. 中华泌尿外科杂志, 2008, 29(10): 668-671.
[18] Rehman J, Monga M, Landman J, et al. Characterization of intrapelvic pressure during ureteropyeloscopy with ureteral access sheaths[J]. Urology, 2003, 61(4): 713-718.
[19] Deng X, Song L, Xie D, et al. A novel flexible ureteroscopy with intelligent control of renal pelvic pressure: an initial expeernice of 93 cases[J]. J Endourol, 2016, 30(10): 1067-1072.

相似文献/References:

[1]高小峰,周铁,陈书尚,等.输尿管软镜碎石与微创经皮肾取石术治疗肾盏结石的对比研究[J].中华腔镜泌尿外科杂志(电子版),2007,(02):69.
　GAO Xiao-feng,ZHOU Tie,CHEN Shu-shang,et al.Comparison of Retrograde Flexible Ureteroscopic Lithotripsy and Mini-Percutaneous Nephrolithotomy for Calyceal Calculi[J].,2007,(04):69.
[2]方建明,王可兵,夏宏辉,等.输尿管软镜联合钬激光碎石术治疗肾和输尿管上段结石:附86例报告[J].中华腔镜泌尿外科杂志(电子版),2012,(01):42.
　FANG Jian-ming,WANG Ke-bing,XIA Hong-hui,et al.Flexible ureteroscopy combined with holmjam laser lithotripsy for renal and upper ureter calculi: Report of 86 cases[J].,2012,(04):42.
[3]陈文忠,钟文,曾国华,等.输尿管软镜钬激光碎石术治疗输尿管上段结石[J].中华腔镜泌尿外科杂志(电子版),2012,(04):278.
　CHEN Wen-zhong,ZHONG Wen,ZENG Guo-hua,et al.Flexible ureteroscopic Ho:YAG laser lithotripsy in treating upper ureteral stones[J].,2012,(04):278.
[4]黄向江,方烈奎,房杰群,等.输尿管软镜钬激光碎石术在异常解剖上尿路结石中的应用[J].中华腔镜泌尿外科杂志(电子版),2013,(01):44.
　HUANG Xiang-jiang,FANG Lie-kui,Fang Jie-qun,et al.The application of flexible ureteroscopy with holmium laser in upper urinary tract calculi with abnormal anatomy[J].,2013,(04):44.
[5]贺飞,张晓忠,杨青山,等.输尿管软镜钬激光碎石术治疗经皮肾镜取石术术后的残留结石[J].中华腔镜泌尿外科杂志(电子版),2013,(03):49.
　HE Fei,ZHANG Xiao-zhong,YANG Qing-shan,et al.Clinical analysis of flexible ureteroscopic lithotripsy with holmium laser for residual stones after PCNL[J].,2013,(04):49.
[6]陈南辉,陈智林,黄志成,等.输尿管软镜下钬激光碎石治疗经皮肾镜取石术后残留结石[J].中华腔镜泌尿外科杂志(电子版),2013,(06):32.
　CHEN Nan-hui,CHEN Zhi-lin,HUANG Zhi-cheng,et al.Holmium laser lithotripsy with flexible ureteroscope for residual calculi by percutaneous nephrolithotomy[J].,2013,(04):32.
[7]雷光远 雷鸣 刘永达 罗金泰 张泽 袁坚 黄泽瑞.微创经皮肾镜治疗孤立肾与非孤立肾 结石的比较[J].中华腔镜泌尿外科杂志(电子版),2016,10(02):104.[doi:10.3877/cma.j.issn.1674-3253.2016.02.009]
[8]吕文选,屈国欣,王丽琴,等.纤维与电子输尿管软镜下钬激光碎石 治疗肾下盏结石的疗效观察[J].中华腔镜泌尿外科杂志(电子版),2016,10(02):113.[doi:10.3877/cma.j.issn.1674-3253.2016.02.011]
[9]彭国辉 李汉忠 曹满超 王婷 李秉诚 冯元法 徐丽.顺行输尿管软镜碎石术在输尿管下段复杂病变中的应用[J].中华腔镜泌尿外科杂志(电子版),2016,10(01):51.[doi:10.3877/cma.j.issn.1674-3253.2016.01.014 ]
　Peng Guohui,Li Hanzhong,Cao Manchao,et al.Anterograde flexible ureteroscopy lithotomy in the management of lower ureteral calculi with complicated disease[J].,2016,10(04):51.[doi:10.3877/cma.j.issn.1674-3253.2016.01.014 ]
[10]杨炜青李逊何永忠 冯钢 李天 徐桂彬 赖德辉 徐巍 谢清灵赵海波 杨敏龙.输尿管软镜与微创经皮肾镜治疗多囊肾合并肾结石的疗效比较[J].中华腔镜泌尿外科杂志(电子版),2016,10(03):144.[doi:10.3877/cma.j.issn.1674-3253.2016.03.002 ]
　Yang Weiqing,Li Xun,He Yongzhong,et al.Retrograde intrarenal surgery versus minimally invasive percutaneous nephrolithotomy for polycystic kidney merger kidney stones[J].,2016,10(04):144.[doi:10.3877/cma.j.issn.1674-3253.2016.03.002 ]
[11]赵振华,赵国平,郑东升,等.输尿管软镜碎石术后尿脓毒血症的危险因素分析[J].中华腔镜泌尿外科杂志(电子版),2018,12(01):16.[doi:10.3877/cma.j.issn.1674-3253.2018.01.005 ]
　Zhao Zhenhua,Zhao Guoping,Zheng Dongsheng,et al.Risk factors of urosepsis following flexible ureteroscopy with holmium laser[J].,2018,12(04):16.[doi:10.3877/cma.j.issn.1674-3253.2018.01.005 ]
[12]冷松柏,钟毅,黄明.输尿管软镜与微通道经皮肾镜治疗肾结石（≤2 cm）的比较[J].中华腔镜泌尿外科杂志(电子版),2017,11(01):38.[doi:10.3877/cma.j.issn.1674-3253.2017.01.009 ]
　Leng Songbai,Zhong Yi,Huang Ming..Comparison of flexible ureteroscope lithotripsy and microchannel percutaneous nephrolithotomy lithotripsy for treatment of kidney stones (≤2 cm)[J].,2017,11(04):38.[doi:10.3877/cma.j.issn.1674-3253.2017.01.009 ]
[13]张磊,米洋,王昌喜,等.一次性输尿管软镜通路鞘两种置入深度的临床研究[J].中华腔镜泌尿外科杂志(电子版),2023,17(05):486.[doi:10.3877/cma.j.issn.1674-3253.2023.05.012]
　[J].,2023,17(04):486.[doi:10.3877/cma.j.issn.1674-3253.2023.05.012]

备注/Memo

备注/Memo:
基金项目：广东省临床教学基地教学改革研究项目（2015JDB085）；广州市教育系统创新团队项目（13C10） ；广东省教育厅青年创新人才项目（2016KQNCX133）
通讯作者：赖德辉，Email:dehuilai@hotmail.com
更新日期/Last Update: 2017-08-25