软性膀胱镜在手术治疗复杂性肾结石中的应用价值

目的　提高复杂性肾结石的治疗效果。　方法　采用软性膀胱镜在术中经肾盂切口或经扩张输尿管 ,术后经肾盂造瘘取肾内残余结石 ,共治疗复杂性肾结石患者 31例。　结果　 11例于术中 ,16例于术后 ,4例分别于术中术后 ,共取出肾内残余结石 10 6枚。 2 8例取净结石 ,其中 2例配合ESWL治疗 ;3例肾内残余结石未能取净。　结论　软性膀胱镜协助手术可有效处理复杂性肾结石 ,且简便、安全、经济

Flexible cystoscope:an adjuvant device to help the surgical management of complex renal calculi

Objective To evaluate the use of flexible cystoscope in the surgical management of complex renal calculi. Methods Flexible cystoscope and a set of stone baskets were used to help the surgical of complex renal calculi via the renal pelvis incision or the dilated ureter during operation.A pyelostomy with the use of a Foley's catheter was carried out if necessary and the residual stones could be removed via the pyelostomy tract later on. Results 31 cases of complex renal stones have been surgically treated.Flexible cystostomy was used intraoperatively in 11,postoperatively for the removal of residual stones in 16 and being used both intra and postoperatively in 4.A total of 106 stones have been removed.26 patients ( 83.9 %) have been free from any stone.2(6.4%) have undergone ESWL followed by flexible cystoscopy to remove the residual stones.3 patients (9.7%),however,still had residual stones in spite of the above procedure. Conclusions Flexible cystoscopy as an adjuvant procedure is an effective means in the surgical treatment of complex renal calculi especially for the removal of residual stones.The procedure is simple,safe and less expansive.