微创经皮肾镜钬激光碎石术治疗输尿管上段结石合并肾结石.docVIP

微创经皮肾镜钬激光碎石术治疗输尿管上段结石合并肾结石 　　【摘 要】目的：探讨微创经皮肾穿刺输尿管镜下钬激光碎石术治疗输尿管上段结石合并肾结石有效性与可行性。方法：对162例输尿管上段结石合并肾结石并接受钬激光微创经皮肾穿刺碎石术治疗患者临床资料进行回顾性分析，统计手术时间时间、手术并发症例、结石取净例及住院时间。结果：所有患者均单通道取石，其中一期取石130例，二期取石32例，结石清除率90.1%，平均取石时间为55（45―70）分钟，均未出现严重并发症，平均住院时间9（7―13）d。结论：微创经皮肾镜钬激光碎石术治疗输尿管上段结石合并肾结石，结石取净率高、安全可靠，可配合处理输尿管软组织病变，值得临床推广。 　　【关键词】经皮肾穿刺；钬激光碎石术；输尿管结石；肾结石 　　【中图分类号】R587.1 【文献标识码】B 【文章编号】1004-7484（2014）06-3465-02 　　Minimally invasively percutaneous nephrolithotomy with holmium laser for upper ureteric calculi complicated with renal calculi. 　　yanjing-yuan、YU jun-jie、Wang-Bo、Yue-Liang、Li-Cheng、wangyong-sheng、Liu-liquan 　　（Meishan City， Sichuan Province Peoples Hospital Department of Urology， Sichuan Meishan 620010） 　　【Abstract】Objective： To investigate the effect of minimally invasively percutaneous nephrolithotomy with holmium laser on the patients with upper ureteric calculi complicated with renal calculi.Materials ： Totally 162 patients with upper ureteric calculi complicated with renal calculi admitted to Meishan people’s Hospital were treated by minimally invasively percutaneous nephrolithotomy with holmium laser， and the duration of stone surgery， the stone clearance rate， the days of hospitalization and the complications were assessed， used as the main indices in evaluation of the therapeutic effect. Results： All the patients were treated by single channel with no severe complication， 130 cases were treated in one session，32 cases had the second stage operation，the stone clearance rate was 90.1%， the average duration of stone surgery was 55（45～70） minutes， and the average hospital stay was 9（7～13）days.Conclusions： Minimally invasively percutaneous nephrolithot omy with holmium laser for upper ureteric calculi complicated with renal calculi has advantage of less invasive and complication， high stone clearance rate and earlier return to work， and the soft tissue lesions of the ureter can be treated at the same time. It is safe and effective， which should be the first tre