■为了证明我们在输尿管镜检查和钬激光碎石术治疗上尿路结石的初步经验的结果。
■在Awka一家私人泌尿科中心接受输尿管镜检查和激光碎石术治疗上尿路结石的32名患者的数据,对尼日利亚阿南布拉州从2020年9月至2022年6月(20个月)进行了回顾性研究。他们的社会人口统计数据,临床症状,石头的位置和大小,术前和术后使用支架,住院,并发症,分析结石清除率。
■共对32例患者进行了32次手术。患者的平均年龄为44.7±12.2岁。平均结石大小为15.4±6.7mm,范围为8.0-39mm,和Hounsfield单位从233-906。石头在正确的地方,左道,双边占46.9%,43.7%,和9.4%的病例。患者的平均住院时间为3.31±1.45天。结石清除率为90.3%。53.1%的患者有术后并发症,其中40.6%是术后发热,并用抗生素解决。一名患者因输尿管狭窄而无法检查输尿管,导致治疗失败。
■输尿管镜和激光碎石术是治疗上消化道结石的安全有效的选择,具有通过自然孔口进行的优点,不那么痛苦,降低严重出血的风险,肾实质的不可逆损失,以及短暂的住院时间。
UNASSIGNED: To demonstrate the outcome of our initial experience in the management of upper tract stones with
ureteroscopy and Holmium: YAG laser lithotripsy.
UNASSIGNED: The data of thirty-two patients who had
ureteroscopy and laser lithotripsy for upper urinary tract stones at a private urology centre in Awka, Anambra State Nigeria from September 2020 to June 2022 (20months) were retrospectively studied. Their sociodemographic data, clinical symptoms, the location and size of the stones, preoperative and postoperative stent use, hospital stay, complications, and stone-clearance rates were analyzed.
UNASSIGNED: A total of 32 procedures were performed on 32 patients. The mean age of the patients was 44.7 ± 12.2 years. The mean stone size was 15.4 ± 6.7mm with a range of 8.0-39mm, and Hounsfield unit ranging from 233-906. The stones were on the right tract, left tract, and bilateral in 46.9%, 43.7%, and 9.4% of the cases respectively. The patients had a mean length of hospital stay of 3.31 ± 1.45 days. The stone clearance rate was 90.3%. 53.1% of the patients had postoperative complications with 40.6% of these being post-operative fever which resolved with antibiotics. There was treatment failure in one patient due to the inability to scope the
ureter on account of ureteral stricture.
UNASSIGNED: Ureteroscopy and laser lithotripsy are safe and effective options in the management of upper tract stones with the advantages of being performed via a natural orifice, being less painful, with reduced risk of severe bleeding, irreversible loss of renal parenchyma, as well as a short hospital stay.