[1]武立新,王贺彬,吴刚,等.经皮肾镜治疗体外震波碎石失败的上尿路结石的临床研究(附视频)[J].中华腔镜泌尿外科杂志(电子版),2013,(06):22-25.
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经皮肾镜治疗体外震波碎石失败的上尿路结石的临床研究(附视频)()
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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06期
页码:
22-25
栏目:
出版日期:
2013-12-31

文章信息/Info

Title:
Efficacy of percutaneous nephrolithotomy of upper urinary stones after failed extracorporeal shock-wave lithotripsy treatment
作者:
武立新王贺彬吴刚杨兵陈冬李龙方志启刘祥鹏
230022,安徽省合肥市第三人民医院泌尿外科
关键词:
结石经皮肾镜体外震波碎石
摘要:
目的 探讨经皮肾镜技术应用于体外震波碎石(ESWL)治疗失败的上尿路结石的疗效和安全性.方法 本组共26例,男19例,女7例,年龄25 ~67岁,结石直径1~2.5 cm,既往均有不同次数ESWL史,行肾镜下超声或气压弹道碎石,对于较低位置输尿管结石者则更换输尿管镜下碎石.结果 全部病例均一次性成功建立单通道,通道建立时间6~17 min,结石处理时间20~105 min,出血量10~30 ml.术中发现游离型结石7侧,其余25侧结石周围均有不同程度炎性息肉包裹,结石与周围管壁粘连,6例结石中心有大量基质成分堆积.术后复查清石率75%(24/32),无临床意义残石率25%(8/32).结论 肾镜可有效治疗ESWL治疗失败的上尿路结石.

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备注/Memo

备注/Memo:
合肥市科技计划项目(2011-53)
更新日期/Last Update: 1900-01-01