中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
12期
92-93
,共2页
李励献%谢锦来%谢建兵%林国伟%黄宏双
李勵獻%謝錦來%謝建兵%林國偉%黃宏雙
리려헌%사금래%사건병%림국위%황굉쌍
输尿管结石%输尿管镜%气压弹道碎石术
輸尿管結石%輸尿管鏡%氣壓彈道碎石術
수뇨관결석%수뇨관경%기압탄도쇄석술
Ureter calculi%Ureteroscopy%Pneumatic lithotriptor
目的 分析输尿管镜下气压弹道碎石术治疗输尿管结石的方法及并发症的防治,探讨术中上镜困难的原因及对策.方法 回顾性分析216例242侧输尿管结石行气压弹道碎石术的临床资料.结果 一次碎石取石成功率为90.5%(219/242),上段、中段、下段输尿管结石的治疗成功率分别为66.67%(14/21)、90.9%(80/88)、94%(125/133),并发症主要为泌尿系感染、血尿及输尿管穿孔.结论 输尿管镜气压弹道碎石术安全疗效确切,是治疗输尿管中下段结石首选方法.
目的 分析輸尿管鏡下氣壓彈道碎石術治療輸尿管結石的方法及併髮癥的防治,探討術中上鏡睏難的原因及對策.方法 迴顧性分析216例242側輸尿管結石行氣壓彈道碎石術的臨床資料.結果 一次碎石取石成功率為90.5%(219/242),上段、中段、下段輸尿管結石的治療成功率分彆為66.67%(14/21)、90.9%(80/88)、94%(125/133),併髮癥主要為泌尿繫感染、血尿及輸尿管穿孔.結論 輸尿管鏡氣壓彈道碎石術安全療效確切,是治療輸尿管中下段結石首選方法.
목적 분석수뇨관경하기압탄도쇄석술치료수뇨관결석적방법급병발증적방치,탐토술중상경곤난적원인급대책.방법 회고성분석216례242측수뇨관결석행기압탄도쇄석술적림상자료.결과 일차쇄석취석성공솔위90.5%(219/242),상단、중단、하단수뇨관결석적치료성공솔분별위66.67%(14/21)、90.9%(80/88)、94%(125/133),병발증주요위비뇨계감염、혈뇨급수뇨관천공.결론 수뇨관경기압탄도쇄석술안전료효학절,시치료수뇨관중하단결석수선방법.
Objective To evluate the treatment of ureteral stones by the using of ureteoscope and pnernatic lithotripter. To analysis the canses of diffcult aceess during rigid transurethral ureteroscory and their management. Methods Retrospectively analyzing the data of 216 cases of ureteroscope pneumatie lithotriptor for ureteral culculi. Results The success rate of the one stage for all patients was 90. 5 % (219/242). The successful rates for upper, middle and lower ureteral stone were 66. 67% (14/21) ,90. 9% (80/88) ,94% (125/133).Conclusion Treatment of ureteral stone with this method has been safe and effective. This method should be the first choice of treatment for the middle and lower ureteral stone.
