CAJ | 학술논문

目的评价微创方法处理双J管结石形成造成拔管困难的临床应用价值.方法回顾性分析2009年8月至2012年3月中国医科大学附属盛京医院泌尿外科28例因双J管结石形成造成拔管困难的患者临床资料.结果 18例采用体外冲击波碎石,5例行经尿道小力碎石钳碎石,4例行输尿管镜气压弹道/超声碎石,1行经皮肾镜超声碎石治疗,均取管成功,无输尿管撕脱、泌尿系感染及大出血等并发症.结论对于因双J管结石形成普通膀胱镜下拔管困难的患者,根据形成结石的硬度及部位,分别采用适当的微创方法处理效果良好.同时,预防双J管结石形成至关重要.
목적 평개미창방법처리쌍J관결석형성조성발관곤난적림상응용개치.방법 회고성분석2009년8월지2012년3월중국의과대학부속성경의원비뇨외과28례인쌍J관결석형성조성발관곤난적환자림상자료.결과 18례채용체외충격파쇄석,5례행경뇨도소력쇄석겸쇄석,4례행수뇨관경기압탄도/초성쇄석,1행경피신경초성쇄석치료,균취관성공,무수뇨관시탈、비뇨계감염급대출혈등병발증.결론 대우인쌍J관결석형성보통방광경하발관곤난적환자,근거형성결석적경도급부위,분별채용괄당적미창방법처리효과량호.동시,예방쌍J관결석형성지관중요.
Objectives To evaluate the clinical value of minimal invasive treatment to remove the double J stents caused by calculi formation which were difficult to remove.Methods Retrospective analysis the clinical date of 28 patients who were difficult to remove the double J stents caused by calculi formation from August 2009 to March 2012 in the Urology Department,Shengjing Hospital of China Medical University.Results 18 patients were treated with extracorporeal shock-wave lithotripsy,5 patients were treated with trans urethral cystoscopic lithotripsy,4 patients were treated with ureteroscopic pneumatic/ultrasonic lithotripsy,1 patient was treated with percutaneous nephrolithotomy(PCNL),all the patients were removed the double J stents successfully,without any complication,such as the ureter avulsion,urinary tract infection,hemorrhoea and so on.Conclusions With regard to the patients who have difficulty in removing the double J stents because of the calculi formation by ordinary cystoscope,according to the hardness and location of the calculi,using suitable minimally invasive treatment will get a well therapeutic effect.meanwhile,it is very important to prevent the calculi formation of the double J stents.