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孤立肾包括先天性孤立肾、对侧肾切除或对侧肾功能丧失等。对于孤立肾合并肾结石患者来说,由于缺少对侧肾脏代偿,如手术方式选择不当,则可能造成肾功能不可逆性恶化,甚至需要长期透析治疗,因此一直成为泌尿外科碎石手术领域的难点。目前常用的孤立肾结石治疗方法包括体外冲击波碎石术(ESWL)、经皮肾镜碎石术(PCNL)、输尿管软镜手术(RIRS)及开放取石术等,各有利弊。我科收治孤立肾合并肾结石患者17例,并全部施行了输尿管软镜下钬激光碎石术,现报告分析其临床资料,以供借鉴。
Isolated kidney, including congenital solitary kidney, contralateral nephrectomy or contralateral renal function loss. For patients with isolated kidney and kidney stones, the lack of contralateral renal compensation, such as improper surgical options, may lead to irreversible deterioration of renal function, and even need long-term dialysis treatment, it has become the difficult area of Urology gravel surgery . Currently used solitary kidney stones include extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL), ureteroscopic surgery (RIRS) and open lithotomy, each with its own advantages and disadvantages. In our department, 17 cases of solitary renal nephrolithiasis were treated, and all of them were treated by ureteroscopic holmium laser lithotripsy. We report the clinical data for reference.