[1]覃智标,雷华,黄瑞旭.输尿管封堵取石导管在输尿管镜气压弹道碎石术中的临床应用[J].中华腔镜泌尿外科杂志(电子版),2013,(05):14-17.
 QIN Zhi-biao,LEI Hua,HUANG Rui-xu.The application of ureteral occlusion device in ureteroscopic pneumatic lithotripsy[J].,2013,(05):14-17.
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输尿管封堵取石导管在输尿管镜气压弹道碎石术中的临床应用()
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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:
2013年05期
页码:
14-17
栏目:
出版日期:
2013-10-31

文章信息/Info

Title:
The application of ureteral occlusion device in ureteroscopic pneumatic lithotripsy
作者:
覃智标雷华黄瑞旭
广西中医药大学第一附属医院泌尿外科,南宁,530023
Author(s):
QIN Zhi-biaoLEI HuaHUANG Rui-xu
关键词:
输尿管结石气压弹道术输尿管封堵导管
摘要:
目的 探讨输尿管封堵取石导管在输尿管镜气压弹道碎石术中的应用价值.方法 回顾性分析2012年8月至2013年2月63例因单侧输尿管结石在我院行输尿管镜气压弹道碎石术患者的临床资料,其中使用封堵管手术者30例(实验组),不使用封堵管手术者33例(对照组).前者在术中经输尿管镜工作通道置入封堵管以封住输尿管管腔阻止结石上移,再行碎石操作.后者则行传统的输尿管镜碎石术,术中不采用任何封堵设备.结果 实验组中2例输尿管结石因周围多发息肉包裹在放置封堵管过程中结石移位至肾盂需二期体外震波碎石治疗,无一例出现输尿管穿孔、断裂、黏膜撕脱等并发症,两组均在2周后复查泌尿系平片,实验组除上述2例结石移位至肾盂外,余无明显结石残留,一期结石取净率为93.3%,对照组因术中结石移位导致术后结石残留者9例,一期结石取净率为72.7%.两组差异具有统计学意义(X2=4.630,P=O.031).结论 在输尿管镜碎石术中利用输尿管封堵管可安全有效地减少结石上移,提高一期结石取净率,具有重要的临床应用价值.

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更新日期/Last Update: 1900-01-01