| 摘要: |
| 目的 探讨输尿管软镜在空乘人员无症状性肾盏结石治疗中的应用价值。方法 回顾性分析2008年１月至2012年5月应用输尿管软镜钬激光治疗无症状性肾盏结石8例空乘人员的临床资料。统计患者基本情况、疾病特征、围手术期相关信息。结果 本组8例患者结石总数37枚,平均每侧肾脏结石负荷为3～5(3.7±0.7)枚,其中2例患者为双侧结石。平均单枚结石直径为2～8(4.5±1.5) mm,平均单侧结石累积最大径为6～20(16.8±4.7) mm。平均手术时间为30～56(45.0±7.6) min,平均术后住院时间1～2(1.8±0.5) d,平均离岗时间为12～15(13.0±1.1) d。术中无严重并发症发生。术后两周复查CT示结石清除率达100%。结论 输尿管软镜钬激光碎石术是一种安全、有效、微创的治疗方法,可作为空乘人员无症状性肾盏结石治疗的首选方法。 |
| 关键词: 输尿管软镜检查 航空 肾结石 肾盏 |
| DOI： |
| 投稿时间：2013-02-01修订日期：2013-07-21 |
| 基金项目: |
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| Flexible ureteroscopy in management of asymptomatic calyceal calculi in flight attendants |
| GAO Xiao-feng,PENG Yong-han,LI Ling,ZHOU Tie,WANG Lin-hui,SUN Ying-hao* |
(Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding author.) |
| Abstract: |
| Objective To evaluate the value of flexible ureteroscopy (F-URS) in managing asymptomatic calyceal calculi for flight attendants. Methods We retrospectively analyzed the clinical data of 8 flight attendants who were surgically treated for asymptomatic calyceal calculi at our hospital from January 2008 to May 2012. The demographic information, disease characteristics, and perioperative information were collected. Results Eight patients had a total of 37 intrarenal calculi, with bilateral renal stones found in 2 patients. The mean number of stones per kidney in our patients was 3.7±0.7 (range 3-5). The mean size of individual stone was (4.5±1.5) mm (range 2-8 mm). The mean stone size per kidney was (16.8±4.7) mm (range 6-20 mm). The mean operation time was (45.0±7.6) min (range 30-56 min) and the average postoperative hospital stay was (1.8±0.5) d (range 1-2 d). Mean time lost from work due to F-URS was (13.0±1.1) d (range 12-15 d). No severe complications occurred during the operation. Stone free rate was 100% at 2 weeks after treatment as showed by a follow-up CT scan. Conclusion F-URS with holmium laser is a safe, effective and minimally invasive procedure, and may serve as a first-line therapy for asymptomatic calyceal calculi for flight attendants. |
| Key words: flexible ureteroscopy aviation kidney calculi kidney calices |
