CAJ | 학술논문

目的探讨双J管长时间滞留致复杂性泌尿系结石的治疗及拔管技巧。方法回顾性分析5例双J管长期滞留的临床资料，术前采用体外碎石，术中使用输尿管镜结合经皮肾镜碎石取石术联合拔管。结果经以上方法碎石满意，均顺利完整的拔出滞留的双J管。结论体外冲击波碎石术、输尿管镜及肾镜联合腔内碎石和拔管是治疗双J管长期滞留并结石形成的有效手段。
목적탐토쌍J관장시간체류치복잡성비뇨계결석적치료급발관기교。방법회고성분석5례쌍J관장기체류적림상자료，술전채용체외쇄석，술중사용수뇨관경결합경피신경쇄석취석술연합발관。결과경이상방법쇄석만의，균순리완정적발출체류적쌍J관。결론체외충격파쇄석술、수뇨관경급신경연합강내쇄석화발관시치료쌍J관장기체류병결석형성적유효수단。
Objective To investigate the treatment and tube drawing technique of complex urinary calculi with double J of long-term retention. Methods Clinical data of 5 patients with long-term retention of ureteral double J tube were retrospectively analyzed. Extracorporeal lithotripsy was used preoperatively, ureteroscopy combined with percutaneous nephrolithotomy were used in tube drawing intraoperatively. Results The effect of gravel is satisfactorily. The retention double J tube was pulled out completely and smoothly. Conclusion Extracorporeal shock wave lithotripsy, ureteroscopy and nephrolithotomy combined with endoscopic lithotripsy may be effective in treatment of stones induced by long-term retention of ureteral double J tube.