摘要目的 探讨肾移植术后移植肾输尿管结石的腔镜治疗效果.方法 结合病史及文献对5例移植肾输尿管结石患者的临床资料进行系统性回顾分析,5例均行输尿管镜钬激光碎石术,其中结石直径为7～48 mm,接受肾移植术的时间约为7个月～9年.结果 4例行输尿管镜钬激光碎石术碎石成功;1例在碎石过程中,结石被冲洗液冲入肾盂,术后留置D-J管行ESWL术,2次后排净结石.术后随访1～6年,人肾均存活良好,5例患者肾功能恢复正常,无结石复发.结论 移植肾输尿管结石处理应选择创伤小、效果好的腔镜微创治疗,尽而更好地保护肾功能.

abstractsObjective To evaluate the effect of endoscopic treatment for urinary calculi in allograft kidneys. Methods The clinical files of urolithiasis in allograft kidneys in 5 cases were retrospectively analyzed consulting with literature,overall 5 cases of urinary calculi in allograft kidneys were treated by endoscopic technique.Among them, the stone size ranged from 8 mm to 48 mm in greatest dimension, and the time after transplantation ranged from 7 months to 9 years. Results YAG Lithotripsy by ureteroscopy was performed successfully in 4 cases;one underwent ESWL after failed ureteroscopy. The patients were followed up for 1 ～ 6 years, and all the patients and transplanted kidneys survived well. The kidney function returned to normal in 5 patients and no stones recurred. Conclusion Due to its less trauma and excellent outcome, minimally invasive endoscopy should be chosen for treatment of urinary calculi in allograft kidney so as to protect kidney function as far as possible.