新型组合式输尿管软镜钬激光治疗肾结石的疗效分析-中华临床医师杂志.PDF

·11420 · 中华临床医师杂志( 电子版)2013 年12 月第7 卷第24 期 Chin J Clinicians(Electronic Edition),December 15,2013,Vol.7,No.24 ·临床论著· 新型组合式输尿管软镜钬激光治疗 肾结石的疗效分析 丁业飞 刘红耀 任耀强 【摘要】 目的 探讨新型组合式输尿管软镜钬激光碎石术治疗肾结石的有效性和安全性。方法 回顾 分析2012 年11 月至2013 年9 月收治的48 例肾结石患者，采用新型组合式输尿管软镜钬激光碎石术治疗。 按不同年龄、结石位置（肾盂、肾上中盏、肾下盏）、结石大小、术前是否行体外冲击波碎石治疗（ESWL ） 分组，术后清石率以出院前KUB 复查结果和出院 1 个月、2 个月后复查KUB 或超声结果进行疗效评价。 结果 术中46 例（95.83% ）患者成功找到并粉碎结石；术后2 例（4.17% ）患者出现高热寒战；术后第3 天复查KUB 清石率为 64.58% （31/48 ），术后1 个月复查清石率为 85.42% （41/48 ），按不同年龄、结石 位置、结石大小、术前是否行ESWL 治疗分组清石率比较差异无统计学意义（P ＞0.05 ）；术后2 个月复查 清石率93.75% （45/48 ），因2 个月后复查清石率较高各组未进行统计学比较。结论 新型组合式输尿管软 镜钬激光碎石术治疗肾结石具有清石率高并发症轻、发生率低等优势，值得推广。 【关键词】 肾结石； 碎石术，激光； 输尿管软镜； 清石率； 并发症 Efficacy of modular flexible ureteroscopy combined with holmium laser lithotripsy for renal stones DING * * Ye-fei , LIU Hong-yao, REN Yao -qiang. Graduate Department of Shanxi Medical University, Taiyuan 030001, China Corresponding author: LIU Hong-yao, Email: 287721429@ 【Abstract 】 Objective To evaluate the efficacy and safty of modular flexible ureteroscope with holmium laser in the treatment of kidney calculi. Methods 48 kidney calculi patients in our hospital from Nov. 2012 to Sep. 2013 were treated holmium laser with modular flexible ureteroscope. We group them according to ages, the position of calculi(renal pelvis,upper and mid calyx, lower calyx), the size of calculi,treated ESWL or not. SCR(stone-clearance-rate) was evaluated efficacy by the results of reviewing KUB 3 day after operation and the result of KUB and Ultrasound after one and two months leaving hospital. Results There were 46 cases (95.83%) whoses stones were successfully found and crushed in the surgery; 2 cases (4.17%)with