经皮肾镜钬激光碎石治疗海绵肾肾结石.docxVIP

经皮肾镜钦激光碎石治疗海绵肾肾结石 （附30例报告） 赵长永罗成功李道兵 遵义医学院附属医院泌尿外科 摘要： R的:探讨海绵肾肾结石经皮肾镜钦激光碎石取石的疗效及安全性。方法：回顾性 分析我院2009年1月纶16年1月住院治疗的30例海绵肾合并肾结石并行经皮 肾镜钦激光碎石取石治疗的患者，术后观察患者临床疗效。结果：30例均成功去 大部分游离结石，解除上尿路梗阻，术后复查KUB平片结石均较术前明显减少。 结论：引起肾盂输尿管上段梗阻的海绵肾肾结石可行经皮肾镜取石术，只需要清 除引起梗阻的游离结石，部分黏膜下较大结石也可碎石清除。不主张进行较大面 积的干扰髓质内结石。 关键词： 海绵肾;肾结石;经皮肾镜;秋激光; 作者简介：李道兵，E-mai 1:1 idaobing6080@163. com 收稿日期：2016-06-01 Percutaneous nephroscope holmium laser lithotripsy in the treatment of medullary sponge kidney stone (Report of 30 cases) ZHAO Changyong LUO Chenggong LI Daobing Department of Urology, Affiliated Hospital of Zunyi Medical College; Abstract： Objective:To discuss the curative effect and safety of holmium laser lithotripsy of percutaneous nephrolithotomy in treating medullary sponge kidney. Method:Thirty cases wi th medul lary sponge kidney compl icated with kid ney stone who were adm it ted and t rea ted in aff ilia ted hospital of Zunyi Medical College from Jan.2009 to Jan.2016 had been retrospectively analyzed, and the clinical curative effect of patients had been observed after the operation. Result:All of 30 cases had their free stones mostly removed, and their upper urinary tract obstruction relieved. Tt was revealed by the postoperative reexeimination of KUB plain film theit all of their calculi had been significantly reduced as compared to pre-operation. Conclusion:The case of medullary sponge kidney stone that causes the upper pelviureteric tract obstruction can be performed with percutaneous nephroli thotomy. Only the free calculus that causes the obstruetion need to be removed, and part of the relatively large submucous calculi can also be removed by lithotripsy. It is not recommended to extensively disturb the intra-medullary calculus. Keyword： medullary sponge kidney; kidney stone; percutaneous nephrolithotomy; holmium laser; Received： 2016-06-01 目前海绵肾肾结石的形成机制尚不明确，缺乏有效的治疗方法。常用方法有体外 冲击波碎石、经皮肾镜及输尿管软镜碎石等。木文收集30例海绵肾肾结石行经 皮肾镜钦激光碎石患者的病例资料，初步探讨海绵肾肾结石经皮肾镜钦激光碎 石的疗效及安全性。现报告如下。 1资料与方法 1.1 一般资料 收集2009年1月?20