论文部分内容阅读
目的评价负压组合镜治疗肾结石的临床疗效及安全性。方法采用负压组合镜治疗482例肾结石患者,其中单发肾结石327例,多发肾结石155例,73例合并输尿管上段结石;结石最大径(18.03±8.27)mm。对手术过程及结石清除率(SFR)、并发症等进行评价。结果444例一期顺利进镜完成手术,38例患者因输尿管狭窄留置D-J管1个月后顺利行手术。手术时间(35.7±14.1)分钟,术后住院(1.8±0.8)天。术后第1天SFR为87.6%(422/482),术后1个月SFR为96.1%(463/482)。术后发热4.8%(23/482),输尿管穿孔0.2%(1/482),石街形成0.4%(2/482),无严重脓毒血症、肾周血肿发生。结论负压组合镜治疗肾结石安全、有效。
Objective To evaluate the clinical efficacy and safety of negative pressure combined treatment of kidney stones. Methods 482 cases of nephrolithiasis were treated with negative pressure combined mirror, of which 327 cases were single nephrolithiasis, 155 cases were multiple nephrolithiasis and 73 cases were associated with upper ureteral stones. The largest diameter of stone was (18.03 ± 8.27) mm. Surgical procedures and stone clearance rate (SFR), complications, etc. were evaluated. Results A total of 444 patients underwent primary surgery successfully, 38 patients underwent ureteral stricture with D-J tube one month after surgery. The operation time (35.7 ± 14.1) minutes and postoperative hospital stay (1.8 ± 0.8) days. SFR was 87.6% (422/482) on the first postoperative day and 96.1% (463/482) at one month postoperatively. Postoperative fever was 4.8% (23/482), ureter perforation was 0.2% (1/482), stone street formed 0.4% (2/482), no severe sepsis, peritoneal hematoma occurred. Conclusion negative pressure combined treatment of kidney stones safe and effective.