[1]梁志强 江东 伍世杰 莫逊 徐托 狄金明.CT造影在输尿管末端小结石分类治疗方法选择中的价值[J].中华腔镜泌尿外科杂志(电子版),2016,10(04):267-270.[doi:10.3877/cma.j.issn.1674-3253.2016.04.013 ]
　Liang Zhiqiang,Jiang Dong,Wu Shijie,et al.The value of CTU on the choice of treatment method for distal ureteral stone[J].,2016,10(04):267-270.[doi:10.3877/cma.j.issn.1674-3253.2016.04.013 ]
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CT造影在输尿管末端小结石分类治疗方法选择中的价值()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年04期
页码:
267-270
栏目:
临床研究
出版日期:
2016-08-31

文章信息/Info

Title:
The value of CTU on the choice of treatment method for distal ureteral stone
作者:
梁志强 1江东 2伍世杰 1莫逊 1徐托 1狄金明 3
529500广东省阳江市阳东区人民医院泌尿外科 1；519000珠海，中山大学附属第五医院泌尿
Author(s):
Liang Zhiqiang1;  Jiang Dong2;  Wu Shijie1;  Mo Xun1;  Xu Tuo1;  Di Jinming3.
Department of Urology, Yangdong District People's Hospital of Yangjiang city, Yangjiang 529900, China; 2Department of Urology, the Fifth Affiliated Hospital Sun Yat-sen University, Zhuhai 519000, China; 3Department of Urology, the Th
关键词:
输尿管结石; 药物治疗; 输尿管镜
DOI:
10.3877/cma.j.issn.1674-3253.2016.04.013
摘要:
目的探讨 CT造影在输尿管末端小结石（ ≤6 mm）分类治疗方法选择中的价值。方法使用螺旋 CT+三维重建技术，根据输尿管小结石梗阻上方集合系统扩张情况，分为肾盏无扩张组及肾盏扩张组，两组均先采用相同药物排石治疗两周，如排石失败再行输尿管镜钬激光碎石术。结果两组药物排石成功率分别是 94.6%（105/111）、24.4%（10/41）（P<0.05）。两组结石未排出的患者均转入手术组，经输尿管镜碎石取石术治疗，结果所有病例均取石成功。结论螺旋 CT及三维重建为输尿管末端小结石梗阻的分类提供了科学依据，为药物排石及手术方案的合理选择提供依据。肾盏扩张组可选择及早行输尿管镜碎石取石治疗，而肾盏无扩张组患者可选择药物排石等保守治疗，保守治疗失败后再行输尿管镜手术治疗。

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备注/Memo

备注/Memo:
基金项目：东莞市科技计划医疗卫生类科研一般项目（ 201310515000152）
通讯作者：狄金明，Email：746379204@qq.com
更新日期/Last Update: 2016-08-30