腔内泌尿外科技术治疗结石性脓肾患者的临床效果

杨晗杰

[摘要] 目的 分析腔内泌尿外科技术治疗结石性脓肾患者的临床效果。 方法 选择本院2012年5月～2013年12月收治的63例结石性脓肾患者作为研究对象，根据患者的临床症状表现，合理选择经尿道输尿管镜取石术或微创经皮肾镜取石术进行治疗，并分析其疗效。 结果 63例结石性脓肾患者中，有21例（33.33%）行经尿道输尿管取石术治疗，另42例（66.67%）行微创经皮肾镜取石术治疗，术后半年均获得随访，肾功能恢复或部分恢复者55例（87.30%），肾萎缩者7例（11.11%），肾切除者1例（1.59%）。 结论 临床上应用腔内泌尿外科技术治疗结石性脓肾，治疗方法安全，疗效显著，术后并发症发生率低，保肾率高，具有极高的应用价值。

[关键词] 腔内泌尿外科技术；结石性脓肾；临床疗效

[中图分类号] R692.4 [文献标识码] B [文章编号] 1674-4721（2014）08（a）-0174-02

Clinical efficacy of endourological technique in the treatment of patients with calculous pyonephrosis

YANG Han-jie

Department of Vrology，People′s Hospital of Pingxiang City in Jiangxi Province，Pingxiang 337000，China

[Abstract] Objective To analyze the clinical efficacy of endourological technique in the treatment of patients with calculous pyonephrosis. Methods 63 cases of patients with calculous pyonephrosis treated in our hospital from May 2012 to December 2013 were selected as research objects.According to the clinical symptoms of patients，the patients were treated with transurethral ureteroscopic lithotripsy or minimally invasive percutaneous nephrolithotomy，and the clinical treatment effect of patients was analyzed. Results For 63 cases with calculous pyonephrosis，there were 21 cases（33.33%）receiving transurethral ureteroscopic lithotripsy，and there were 42 cases（66.67%）receiving minimally invasive percutaneous nephrolithotomy.The patients were followed up for half a year after operation，there were 55 cases（87.30%） with graft function，7 cases（11.11%） of kidney atrophy and 1 case（1.59%）with nephrectomy. Conclusion Endourological technique in the treatment of patients with calculous pyonephrosis not only is safe，evident treatment effect and low incidence rate of complication，but also has great application value for the treatment of calculous pyonephrosis.

[Key words] Endourological technique；Calculous pyonephrosis；Clinical efficacy

结石性脓肾是由于上尿路结石引起梗阻，从而继发肾脏感染的一种疾病，病理变化主要是肾盂内高压的脓性尿液渗入到肾实质，从而形成脓性炎症以及肾实质脓肿，最终导致肾实质被破坏，肾功能丧失，病情严重时还会因细菌及毒素侵入至全身感染，出现中毒及休克现象。针对结石性脓肾病情的危重性，给予有效的治疗方案，取出结石，控制感染，保全肾功能，显得十分重要[1-3]。本研究以本院收治的结石性脓肾患者为研究对象，采用腔内泌尿外科技术进行治疗，分析并探讨其治疗效果。

1 资料与方法

1.1 一般资料

选择本院2012年5月～2013年12月收治的结石性脓肾患者63例作为研究对象，男女比例为36∶27，年龄26～68岁，平均（35±5.11）岁；……