摘要
目的：探讨多囊肾合并上尿路结石的微创治疗效果。方法：回顾性分析我院2007年1月至2012年10月12例多囊肾合并上尿路结石的临床资料,男性5例,女性7例,平均年龄42岁,10例采用B超定位下的经皮肾镜碎石,2例采用输尿管软镜碎石。结果：经皮肾镜组均一期成功建立经皮肾通道,9例行一期碎石,1例患者二期碎石,另2例患者输尿管软镜一次性取石成功,术后除2例发热外无其他严重并发症发生,复查平片,结石均完全清除。3例患者肾功能得到明显改善。术后随访1~3年,无结石复发。结论：微创经皮肾镜和输尿管软镜是治疗多囊肾合并上尿路结石有效、安全的方法。
Objective： To evaluate the role of minimally invasive procedures in management of the patients with autosomal dominant plycystic kidney disease and associated nephrolithiasis. Methods： A total of 12 patients from 2007 to 2012 with autosomal dominant polycystic kidney disease and upper urinary tract stones were included in this study. All patients included 5 men and 7 women（ mean age 42） were treated by percutaneous nephrolithotomy or flexible ureterscopy. Results： 9 patients were performed in 1 stage and 1 case was done in 2 stages. There were no major post operative complications and all patients were rendered stone free. Renal function improved in two patients and was stable in the others. Conclusion： Percutaneous nephrolithotomy and flexible ureterscopy are safe and effective in the treatment of patients with autosomal dominant polycystic kidney disease and associated upper urinary tract stones.
出处
《川北医学院学报》
CAS
2016年第1期70-72,共3页
Journal of North Sichuan Medical College
基金
四川省教育厅自然科学重点项目(13ZA0218)
关键词
多囊肾
微创
结石
经皮肾镜
输尿管软镜
Autosomal dominant polycystic kidney
Minimally invasive procedures
Urinary calculi
Percutaneous nephrolithotomy
Flexible ureterscopy
