[1]陆佳荪,温机灵,温晓飞,等.经输尿管镜治疗输尿管上段结石失败原因的分析及对策[J].中华腔镜泌尿外科杂志(电子版),2010,(02):116-118.
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经输尿管镜治疗输尿管上段结石失败原因的分析及对策()
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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:
期数:
2010年02期
页码:
116-118
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Analysis failure of proximal ureter ureteroscopical lithotripsy and strategy
作者:
陆佳荪温机灵温晓飞仇广明张国强
上海市同济大学附属东方医院泌尿外科,200120
关键词:
输尿管镜输尿管上段结石失败原因对策
摘要:
目的 通过分析输尿管镜治疗输尿管上段结石的失败原因,提高对输尿管上段结石治疗的效果和成功率. 方法我院自2003年5月至2007年6月,共经输尿管镜治疗输尿管上段结石347例,其中碎石失败83例.本组病例年龄23~65岁,平均46岁;男性49例,女性34例.66例患者在术前30 d内有过肾绞痛病史.术前曾行体外冲击波碎石治疗失败者14例.术前均行静脉肾盂造影检查,结石直径0.6~1.6 cm,平均1.0 cm.所有病例使用STORZ产8F输尿管镜. 结果 1例因结石粉碎不完全,双J管放置未达肾盂,引起梗阻感染,5 d后急诊开放手术治愈.3例因结石远端息肉,输尿管镜不能到达结石或术中息肉出血视野不清而中转开放手术取石.63例因结石大部或全部返入肾盂,追加体外冲击波碎石.15例因输尿管狭窄经扩张后或扭曲仍不能到达结石,其中10例中转开放手术取石,5例改行经皮肾镜取石术.1例因术中输尿管穿孔而中转开放. 结论经输尿管镜治疗输尿管上段结石失败的原因较多,但通过相应的技术改进和病例选择,可以得到满意的疗效.

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更新日期/Last Update: 1900-01-01