CAJ | 학술논문

目的探讨持续低压冲洗下输尿管镜处理输尿管上段结石的临床疗效。方法采用持续低压冲洗下输尿管镜,对62例输尿管上段结石患者进行治疗。结果54例成功取净结石,3例术中结石上移入肾盂,1例上镜困难,安置双J管2周后复查结石排出,4例术中输尿管壁出血,视野不清,改行经皮肾镜碎石术后取石成功。结论对于急性发作的输尿管上段小结石,持续低压冲洗下输尿管镜术较经皮肾镜碎石术具有创伤小、出血少、住院时间短等明显的优势,可作为首选微创治疗方案。
목적탐토지속저압충세하수뇨관경처리수뇨관상단결석적림상료효。방법채용지속저압충세하수뇨관경,대62례수뇨관상단결석환자진행치료。결과54례성공취정결석,3례술중결석상이입신우,1례상경곤난,안치쌍J관2주후복사결석배출,4례술중수뇨관벽출혈,시야불청,개행경피신경쇄석술후취석성공。결론대우급성발작적수뇨관상단소결석,지속저압충세하수뇨관경술교경피신경쇄석술구유창상소、출혈소、주원시간단등명현적우세,가작위수선미창치료방안。
Objective: To investigate the clinical curative effect of upper ureteral calculi with sustained low pressure flush ureteroscopic treatment. Methods: 62 cases of ureteral calculi were treated with sustained low pressure flush ureter endoscope. Results: the calculi of 54 cases were successfully removed. In 3 cases, the stone moved into renal pelvis. The ureteroscope was failed to enter the ureter in 1 case, and the stone discharged after placement of a double J tube for 2 weeks. Percutaneous nephrolithotomy was performed In 4 cases for blurred vision with hemorrhage while ureteroscopy. Conclusion: For the acute episode of upper ureteral stones, compared with percutaneous renal lithotripsy, continuous low-pressure rinse under ureteroscopy has the advantage of less trauma, less bleeding and shorter hospital stay; it could be a preferred minimally invasive treatment option.