尿流改道术后输尿管结石一例报告并文献复习

目的探讨经皮肾通道联合软性输尿管镜处理尿流改道术后输尿管结石患者的技巧与疗效。 方法回顾性分析2017年12月我院收治的1例尿流改道术后输尿管-新膀胱吻合口处结石患者的临床资料并查阅相关文献。手术关键在于术前设计穿刺通道，术中精准穿刺至目标上组肾盏。 结果该例患者成功完成经皮肾通道联合软性输尿管镜手术，手术时间为70 min，住院时间为7 d，术中出血量为20 ml，术中术后未发生严重并发症，术后复查结石完全清除。 结论经皮肾通道联合输尿管软镜手术处理尿流改道术后输尿管结石安全可行。

Ureteral calculi in patient with urinary diversion:a case report and literature review

ObjectiveTo explore the technique and effect of percutaneous nephrolithotripsy combined with flexible ureteroscope for treatment of ureteral calculi in patients with urinary diversion. MethodsClinical data of one case of ureteral-neobladder anastomotic calculi treated in our hospital in December 2017 were retrospectively analyzed and the related literatures were reviewed. The key procedure was to design a puncture channel before operation and accurately puncture to the upper group of renal calyceal. ResultsThe patient was successfully received percutaneous nephrolithotripsy and flexible ureteroscope. The operation time was 70 minutes and the hospital stay was 7 days, and the intraoperative bleeding was 20 ml. There were no serious complications during and after operation, and the stone was completely removed. ConclusionPercutaneous nephrolithotripsy combined with flexible ureteroscope in the treatment of ureteral calculi after ureter diversion is safe and feasible.