[1]袁磊,杨帆,杨百志.局麻下急诊输尿管镜碎(取)石术治疗孤立肾输尿管下段结石[J].中华腔镜泌尿外科杂志(电子版),2010,(05):394-396.
　YUAN Lei,YANG Fang,YANG Bai-zhi.The emergency treatment of stone in lower ureter in solitary kidney patients using ureteroscope lithoclasty(stone removed) under local anesthesia[J].,2010,(05):394-396.
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局麻下急诊输尿管镜碎(取)石术治疗孤立肾输尿管下段结石()
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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05期
页码:
394-396
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
The emergency treatment of stone in lower ureter in solitary kidney patients using ureteroscope lithoclasty(stone removed) under local anesthesia
作者:
袁磊; 杨帆; 杨百志
山东省寿光市中医医院泌尿外科,262700，四川大学华西基础医学与法医学院,成都,610041
Author(s):
YUAN Lei; YANG Fang; YANG Bai-zhi
关键词:
输尿管镜; 下段; 输尿管; 结石; 急诊
摘要:
目的 探讨局麻下急诊经尿道输尿管镜碎(取)石术治疗孤立肾输尿管下段结石的安全性和效果.方法 2007年2月至2009年11月,4例患者经超声和KUB检查诊断为输尿管下段结石.男性2例,女性2例;年龄38～56岁;左侧3例,右侧1例;对侧肾脏重度积水致无功能肾脏1例,对侧肾切除致孤立肾3例;临床表现均为不同程度的患侧腰腹部疼痛和少尿或无尿;无尿或少尿时间约6～11 h,平均约9 h.术前口服坦索罗辛0.4 mg,局麻下急诊经尿道输尿管镜取石或钬激光碎石,并留置双J管.结果 手术时间10～25 min,平均16.7 min;术后1 h内均恢复排尿;术后1 d检查肾功能1例正常,3例1周内恢复;住院时间4～8 d,平均6.5 d;拔除双J管前复查KUB均未发现输尿管内结石残留.结论 局麻下急诊经尿道输尿管镜碎(取)石术,是治疗孤立肾输尿管下段结石梗阻致无尿或少尿的一种可行的方法,能够迅速处理结石并保护肾功能.

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更新日期/Last Update: 1900-01-01