局解手术学杂志Issue(6)：644-646,3.DOI:10.11659/jjssx.1672-5042.201406028
输尿管软镜在髓质海绵肾结石治疗中的应用
Application of flexible ureteroscopic lithotripsy in treatment of medullary sponge kidney stones
曹全富 1王洛夫 1兰卫华 1张克勤 1杨俊杰 1万江华 1聂志林 1马强 1冯庆兴1
作者信息
- 1. 第三军医大学大坪医院野战外科研究所泌尿外科，重庆400042
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy and safety of flexible ureteroscopic lithotripsy ( FURL) using holmium laser for medullary sponge kidney stones. Methods A flexible ureteroscope was placed into renal calyx via a ureteral access sheath ( UAS) . The stones underlying the mucosa were found,and then broken by holmium laser following incision of renal papillary mucosa. The stone fragments were washed or clamped out. The remission of clinical symptoms and incidence of perioperative complications were observed,and a KUB plain film was rechecked postoperatively. Results Stones underlying mucosa were found and broken successfully in all 14 patients and there was no serious bleeding. Back pain symptoms of patients were relieved in 3 to 7 days postoperatively or after the removal of double J stent. The stone fragments were mainly discharged spontaneously. The rechecking KUB showed the amount of stones of most patients was significantly re-duced three months after operation. Conclusion FURL using holmium laser is effective for the treatment of medullary sponge kidney stones as it can significantly reduce the loads of stones without serious complications. It’ s a minimally invasive,effective,safe and suitable way which is suitable for further spread of clinical application.关键词
输尿管软镜/髓质海绵肾/肾结石/钬激光Key words
flexible ureteroscope/medullary sponge kidney/kidney stone/holmium laser分类
医药卫生引用本文复制引用
曹全富,王洛夫,兰卫华,张克勤,杨俊杰,万江华,聂志林,马强,冯庆兴..输尿管软镜在髓质海绵肾结石治疗中的应用[J].局解手术学杂志,2014,(6):644-646,3.
