论文部分内容阅读
目的探讨经皮肾镜治疗肾盂输尿管连接部狭窄(UPJO)合并肾结石的可行性、疗效及临床应用价值。方法采用经皮肾镜治疗肾盂输尿管连接部狭窄合并肾结石14例,其中2例为原发性UPJO,12例为继发性UPJO,用EMS碎石清石系统及自制电刀同期处理肾结石和UPJO。结果平均手术时间(65±25)min;术后血红蛋白减少量平均为(10.1±1.2)g/L;平均肾造瘘管拔除时间(7.2±1.4)d;平均住院时间为(8.8±1.9)d。术后随访2-16个月,12例引流通畅,肾积水消退或减轻;1例术后肾积水改善不明显,4个月后行肾盂成形术后症状改善;1例结石残留,半年后再次经皮肾镜碎石取石成功。结论经皮肾镜治疗肾盂输尿管连接部狭窄合并肾结石简便、安全、创伤小、并发症少、恢复快、疗效较好,且操作上具有可重复性,值得在有条件的医院推广开展。
Objective To investigate the feasibility, efficacy and clinical value of percutaneous nephrolithotomy in the treatment of ureteropelvic junction stenosis (UPJO) combined with nephrolithiasis. Methods Percutaneous nephrolithotomy was used to treat 14 patients with ureteropelvic junction stenosis and nephrolithiasis, including 2 cases of primary UPJO and 12 cases of secondary UPJO. Simultaneous treatment of nephrolithiasis by EMS lithotripsy and self-made electric knife And UPJO. Results The mean operation time was (65 ± 25) min. The average postoperative hemoglobin decrease was (10.1 ± 1.2) g / L. The average time of removal of renal fistula was (7.2 ± 1.4) d. The average length of hospital stay was (8.8 ± 1.9) d . The patients were followed up for 2-16 months, 12 cases were drained smoothly, and the hydronephrosis subsided or alleviated. One case had no obvious improvement of hydronephrosis and the symptoms after pyeloplasty were improved after 4 months. After percutaneous nephrolithotomy stone success. Conclusion Percutaneous nephrolithotomy for ureteropelvic junction stricture with renal stones is simple, safe, less traumatic, less complications, faster recovery, better curative effect and reproducibility in operation. It is worth to be promoted in qualified hospitals.