[1]沈寅洲,温机灵,陆佳荪,等.Y型输尿管畸形并输尿管结石的微创治疗[J].中华腔镜泌尿外科杂志(电子版),2011,(02):135-138.
　SHEN Yin-zhou,WEN Jiling,LU Jia-sun,et al.Minimally invasive treatment for ureteral calculi in incomplete ureteral duplication[J].,2011,(02):135-138.
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Y型输尿管畸形并输尿管结石的微创治疗()
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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:
2011年02期
页码:
135-138
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Minimally invasive treatment for ureteral calculi in incomplete ureteral duplication
作者:
沈寅洲; 温机灵; 陆佳荪; 仇广明; 金勇超; 周磐石
同济大学附属东方医院泌尿外科,上海,200120，上海市第七人民医院,上海,200137
Author(s):
SHEN Yin-zhou; WEN Jiling; LU Jia-sun; QIU Guang-min; JIN Yong-chao; ZHOU Pan-shi
关键词:
输尿管结石; 泌尿生殖系统畸形
摘要:
目的 探讨Y型输尿管畸形并输尿管结石的诊断与微创治疗方法.方法 回顾性分析2002年6月至2009年8月本院收治的11例Y形输尿管结石患者的临床资料.结石位于Y型输尿管汇合处以下3例,Y型输尿管交接部以上8例,左侧5例,右侧6例.术前静脉肾盂造影(IVU)确诊4例,CT泌尿系重建(CTU)确诊11例.结果 体外冲击波碎石(ESWL)治疗3例,结石清除2例,1例患者术后结石嵌顿于Y型输尿管交接部,行输尿管镜钬激光碎石术.输尿管镜钬激光碎石术治疗8例,结石完全清除7例.1例患者因Y型输尿管交接部狭窄,置镜失败,放置输尿管双J管1个月后再次行输尿管镜手术顺利碎石.所有患者均无输尿管损伤、感染性休克等严重并发症.7例肾积水患者超声随访,随访6～24个月,6例患肾积水有不同程度改善.结论 CTU是Y型输尿管结石最有效的影像学检查手段,无其他并发症的单纯Y型输尿管结石采用ESWL或输尿管镜碎石治疗安全有效.

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更新日期/Last Update: 1900-01-01