经皮肾穿刺辅助输尿管软镜治疗肾盏憩室结石的临床价值
|
摘要
目的:探讨输尿管软镜结合经皮肾穿治疗肾盏憩室结石的临床价值。方法:回顾性分析2011年6月~2015年6月采用输尿管软镜结合经皮肾穿刺治疗肾盏憩室结石的21例患者的临床资料,观察手术结果及并发症情况。结果:全部21例患者中,13例行输尿管软镜联合钬激光碎石术,8例行输尿管软镜结合经皮肾穿钬激光碎石术,其中1例失败行经皮肾镜钬激光碎石术。21例患者术后均未出现大出血或邻近器官损伤等并发症。结论:合理利用输尿管软镜联合经皮肾镜仔细操作,可实现肾盏憩室结石的微创治疗。
Objective:To investigate the clinical value of percutaneous nephrolithotomy-assisted flexible ureteroscopyin the treatment of renal calyceal diverticulum calculi.Methods:The clinical data of 21 patients with renal calyceal diverticulum calculi treated by percutaneous nephrolithotomy-assisted flexible ureteroscopyin our hospital from June 2011 to June 2015 were retrospectively analyzed.The surgical results and complications were observed.Results:Of all 21 patients,13 patients were given flexible ureteroscope holmium laser lithotripsy,and 8 patientspercutaneous nephrolithotomy-assisted flexible ureteroscopy.One case failed and transfered to Holmium∶YAG laser lithotripsy.No postoperative complications such as bleeding or injury to adjacent organs occurred in all 21 patients.Conclusions:The rational use of percutaneous nephrolithotomy-assisted flexible ureteroscopycan achieve minimally invasive treatment of renal calyceal diverticulum calculi.
Objective:To investigate the clinical value of percutaneous nephrolithotomy-assisted flexible ureteroscopyin the treatment of renal calyceal diverticulum calculi.Methods:The clinical data of 21 patients with renal calyceal diverticulum calculi treated by percutaneous nephrolithotomy-assisted flexible ureteroscopyin our hospital from June 2011 to June 2015 were retrospectively analyzed.The surgical results and complications were observed.Results:Of all 21 patients,13 patients were given flexible ureteroscope holmium laser lithotripsy,and 8 patientspercutaneous nephrolithotomy-assisted flexible ureteroscopy.One case failed and transfered to Holmium∶YAG laser lithotripsy.No postoperative complications such as bleeding or injury to adjacent organs occurred in all 21 patients.Conclusions:The rational use of percutaneous nephrolithotomy-assisted flexible ureteroscopycan achieve minimally invasive treatment of renal calyceal diverticulum calculi.
引文
[1]张际青,王勇,张建忠,等.超声引导经皮穿刺辅助输尿管软镜治疗肾盏憩室结石(附9例报告).中国内镜杂志,2016,22(4):92-94.
[2]Gandomi B,Bayat A,Kazemei T.Outcomes of septoplasty in young adults:the Nasal Obstruction Septoplasty Effectiveness study.Am J Otolaryngol,2010,31(3):189-192.
[3]张家模,张翾,刘家骥,等.钬激光碎石联合肾盏憩室颈切开在经皮肾镜治疗肾盏憩室结石中的应用.激光杂志,2014,47(11):131-132.
[4]Matlaga BR,Kim SC,Watkins SL,et al.Pre-percutaneous nephrolithotomy opacification for caliceal diverticular calculi.J Endourol,2006,20(3):175-178.
[5]刘旱明,吴元煜,任胜强,等.肾盏憩室的诊断和治疗(附68例报告).现代泌尿外科杂志,2007,12(5):329-330.
[6]叶雄俊,梁永强,熊六林,等.经皮肾镜处理肾盏憩室结石的技术改进和经验总结.中华泌尿外科杂志,2014,35(11):849-852.
[7]那彦群,叶章群,孙光.中国泌尿外科疾病诊断治疗指南.北京:人民卫生出版社,2014:178.
[8]Mendez-Probst CE,Fuller A,Nott L,et al.Percutaneous nephrolithotomy of caliceal diverticular calculi:A single center,experience.J Endourol,2011,25(11):1741-1745.
[9]汪金荣,何乐业,蒋先镇,等.微创经皮肾镜取石术后大出血的介入治疗.中国内镜杂志,2008,14(1):22-23.
[10]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.中华腔镜泌尿外科杂志(电子版),2013,7(1):44-46.
[11]Gross AJ,Herrmann TR.Management of stones in calyceal diverticulum.Curr Opin Urol,2007,17(2):136-140.
[12]Tuma B,Raza A,Moussa A,et al.Management of calyceal diverticular stones with extracorporeal shoek wave lithotripsy and percutaneous nephrolithotomy:longterm outcome.BJU Int,2007,100(1):151-156.
[13]Geavlete P,Multescu R,Geaviete B.Influence of pyelocaliee anatomy on the success of flexible ureteroseopic approach.J Endourol,2008,22(10):2235-2239.
[14]刘斌,董杰,周水根,等.经皮肾镜及输尿管软镜治疗孤立肾肾盂结石的临床疗效及对肾功能影响的比较.中国微创外科杂志,2014,58(5):430-433.
[15]Waxman SW,Winfield HN.Laparoscopic management of caliceal diverticulum.J Endourol,2009,23(10):1731-1732.
[16]Cracco CM,Scofone CM.ECIRS(Endoscopic Combined Intrarenal Surgery)in the Galdakao-modified supine Valdiviaposition:a new life for percutaneous surgery.World J Urol,2011,29(6):821-827.
[17]Alwaal A,Azhar RA,Andonian S.Percutaneous holmium laser fulguration of calyceal diverticula.Case Rep Urol,2012,2012:716-786.
[2]Gandomi B,Bayat A,Kazemei T.Outcomes of septoplasty in young adults:the Nasal Obstruction Septoplasty Effectiveness study.Am J Otolaryngol,2010,31(3):189-192.
[3]张家模,张翾,刘家骥,等.钬激光碎石联合肾盏憩室颈切开在经皮肾镜治疗肾盏憩室结石中的应用.激光杂志,2014,47(11):131-132.
[4]Matlaga BR,Kim SC,Watkins SL,et al.Pre-percutaneous nephrolithotomy opacification for caliceal diverticular calculi.J Endourol,2006,20(3):175-178.
[5]刘旱明,吴元煜,任胜强,等.肾盏憩室的诊断和治疗(附68例报告).现代泌尿外科杂志,2007,12(5):329-330.
[6]叶雄俊,梁永强,熊六林,等.经皮肾镜处理肾盏憩室结石的技术改进和经验总结.中华泌尿外科杂志,2014,35(11):849-852.
[7]那彦群,叶章群,孙光.中国泌尿外科疾病诊断治疗指南.北京:人民卫生出版社,2014:178.
[8]Mendez-Probst CE,Fuller A,Nott L,et al.Percutaneous nephrolithotomy of caliceal diverticular calculi:A single center,experience.J Endourol,2011,25(11):1741-1745.
[9]汪金荣,何乐业,蒋先镇,等.微创经皮肾镜取石术后大出血的介入治疗.中国内镜杂志,2008,14(1):22-23.
[10]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.中华腔镜泌尿外科杂志(电子版),2013,7(1):44-46.
[11]Gross AJ,Herrmann TR.Management of stones in calyceal diverticulum.Curr Opin Urol,2007,17(2):136-140.
[12]Tuma B,Raza A,Moussa A,et al.Management of calyceal diverticular stones with extracorporeal shoek wave lithotripsy and percutaneous nephrolithotomy:longterm outcome.BJU Int,2007,100(1):151-156.
[13]Geavlete P,Multescu R,Geaviete B.Influence of pyelocaliee anatomy on the success of flexible ureteroseopic approach.J Endourol,2008,22(10):2235-2239.
[14]刘斌,董杰,周水根,等.经皮肾镜及输尿管软镜治疗孤立肾肾盂结石的临床疗效及对肾功能影响的比较.中国微创外科杂志,2014,58(5):430-433.
[15]Waxman SW,Winfield HN.Laparoscopic management of caliceal diverticulum.J Endourol,2009,23(10):1731-1732.
[16]Cracco CM,Scofone CM.ECIRS(Endoscopic Combined Intrarenal Surgery)in the Galdakao-modified supine Valdiviaposition:a new life for percutaneous surgery.World J Urol,2011,29(6):821-827.
[17]Alwaal A,Azhar RA,Andonian S.Percutaneous holmium laser fulguration of calyceal diverticula.Case Rep Urol,2012,2012:716-786.