Kết quả điều trị sỏi thận bằng nội soi niệu quản ngược dòng bằng ống mềm tại Bệnh viện Đa khoa thành phố Vinh=Initial results of treatment of renal calculi with flexible ureteroscopes at Vinh City General Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Văn Cường Lê, Hồng Trường Nguyễn, Viết Hùng Phạm, Đức Trọng Trần, Trọng Thạch Trần, Văn Phi Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.67-72

Bộ sưu tập: Metadata

ID: 477960

Thêm vào giỏ

Đánh giá kết quả của nội soi tán sỏi thận bằng ống soi mềm tại bệnh viện đa khoa thành phố Vinh. Đối tượng và phương pháp: Mô tả tiến cứu 34 trường hợp tán sỏi thận qua nội soi niệu quản ngược dòng bằng ống soi mềm từ tháng 5/2023 đến tháng 7/2024. Kết quả: Có 23 bệnh nhân nam và 11 bệnh nhân nữ, tuổi trung bình 47,1 ± 11,6 tuổi. Phần lớn người bệnh chưa có tiền sử can thiệp phẫu thuật tại thận (79,4%). Nhóm có độ giãn thận ≤ độ II chiếm đến 94,1%. Kích thước sỏi trung bình là 14,0 ± 3,7 mm, trong đó 44,1% bệnh nhân có sỏi đơn độc và 55,9% bệnh nhân có từ 2 viên trở lên. Tỷ lệ thành công khi đặt access sheath lên đến bể thận đạt 88,2%, thời gian phẫu thuật trung bình là 57,8 ± 18,5 phút, lưu thông tiểu trung bình 19,3 ± 3,4 giờ. Tỷ lệ sạch sỏi tại hậu phẫu ngày thứ 2 là 73,5%, tại thời điểm rút sonde JJ là 85,3%. Tổng thời gian nằm viện trung bình 5,6 ± 2,1 ngày, trong đó thời gian hậu phẫu kéo dài trung bình 2,9 ± 1,1 ngày. Không có biến chứng nghiêm trọng trong và sau mổ. Thời gian lưu sonde JJ niệu quản trung bình 22,7 ± 5,0 ngày. Kết luận: Nội soi niệu quản ngược dòng bằng ống mềm có ưu điểm can thiệp theo đường tự nhiên ít xâm lấn, hồi phục nhanh, an toàn, ít biến chứng, hiệu quả sạch sỏi cao.To evaluate the outcomes of retrograde flexible ureteroscopic lithotripsy for kidney stones at Vinh City General Hospital. Methods: A prospective descriptive study was conducted on 34 cases of flexible ureteroscopic lithotripsy for kidney stones from May 2023 to July 2024. Results: The study included 23 male and 11 female patients, with an average age of 47.1 ± 11.6 years. The majority of patients (79.4%) had no prior history of kidney surgery. Patients with kidney dilation of grade II or less accounted for 94.1%. The average stone size was 14.0 ± 3.7 mm, with 44.1% having solitary stones and 55.9% having two or more stones. The success rate of placing the access sheath into the renal pelvis was 88.2%, with an average surgery duration of 57.8 ± 18.5 minutes and an average urinary catheterization time of 19.3 ± 3.4 hours. The stone-free rate on postoperative day 2 was 73.5%, and 85.3% at the time of JJ stent removal. The average hospital stay was 5.6 ± 2.1 days, with a mean postoperative stay of 2.9 ± 1.1 days. There were no serious intraoperative or postoperative complications. The JJ stent was in place for an average of 22.7 ± 5.0 days. Conclusion: Flexible ureteroscopic lithotripsy offers the advantages of minimally invasive intervention through natural orifices, rapid recovery, safety, few complications, and high stone-free efficacy

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