[1]胡卫列,曹启友,罗积慎,等.输尿管结石ESWL治疗失败后输尿管镜下治疗[J].中国微创外科杂志,2005,05(3):219-220.
　Hu Weilie,Cao Qiyou,Luo Jishen,et al.Ureteroscopic management for ureteral stones after failed ESWL[J].Chinese Journal of Minimally Invasive Surgery,2005,05(3):219-220.
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输尿管结石ESWL治疗失败后输尿管镜下治疗()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年3期
页码:
219-220
栏目:
出版日期:
2005-03-31

文章信息/Info

Title:
Ureteroscopic management for ureteral stones after failed ESWL
作者:
胡卫列; 曹启友; 罗积慎; 王蔚; 张利朝; 罗丽东; 何恢绪; 吕军　
广州军区广州总医院泌尿外科,广州军区泌尿外科研究所,广州,510010
Author(s):
Hu Weilie;  Cao Qiyou;  Luo Jishen;  et al.
Department of Urology, GeneralHospital ofGuangzhouMilitaryCommand, Guangzhou510010, China
关键词:
输尿管结石;  体外冲击波碎石;  输尿管镜
Keywords:
Ureteral stone; 　Extracorporeal shockwave lithotripsy; 　Ureteroscope
分类号:
R699.4
文献标志码:
A
摘要:
目的探讨输尿管结石体外冲击波碎石(extracorporeal shock wave lithotripsy,ESWL)治疗失败后输尿管镜下治疗的效果. 方法 23例输尿管结石ESWL治疗失败后,在输尿管镜下通过气压弹道碎石机配合自制输尿管镜针状电刀分别进行碎石、取石、息肉切除术. 结果 2例结石已被粉碎,但被息肉组织紧紧包裹,钳夹息肉将结石取出;16例结石部分粉碎,气压弹道碎石、取石;4例结石完好,与输尿管壁及息肉粘连,用自制输尿管镜针状电刀切除息肉,将结石粉碎取出;1例结石部分嵌入到输尿管黏膜下,致使结石难以排出,用自制输尿管镜针状电刀切开结石表面黏膜后,粉碎结石取出.手术时间30～55 min,平均42 min.术后6个月复查未见结石残留. 结论输尿管结石ESWL治疗失败的病人可以通过输尿管镜气压弹道碎石配合自制输尿管镜针状电刀切开达到治疗目的.
Abstract:
Objective　To study therapeutic effects of ureteroscopic treatment for ureteral stones after failed extracorporeal shockwave lithotripsy (ESWL).　M ethods　A total of 23 patients with ureteral stones received ureteroscopic treatment after the ESWL had failed. By using pneumatic lithotripter and self-made needle-shaped electrotome, stoneswere fragmented and removed, and polyps were resected.　Results　Two patients with stones fragmented but surrounded by granuloma tissue received a polyp resection and stone extraction. Pneumatic ballistic lithotripsy and stone removal was conducted in 16 patients with stones partly fragmented. In 4 patientswith stones adherent to the ureteralwall and polyps, the polypswere removed by using self-made needle- shaped electrotome and the stoneswere fragmented and extracted.And in 1 patientwith stones embedded beneath the ureteralmucous membrane, whichwas difficult to be expelled, the mucous membrane covering the stones was opened by using the needle-shaped electrotome and the stoneswere fragmeathed and extracted.The procedure duration was 30~55 min(mean, 42 min).Re-examination 6 months postoperatively found no residual stones.　Conclusions　After the ESWL had failed, patients with ureteral stones can be treated ureteroscopically by using pneumatic lithotripsy and self-made needle-shaped electrotome.

参考文献/References:

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[3]胡卫列,何恢绪,吕军,等. 输尿管镜下气压弹道碎石治疗输尿管中下段结石伴息肉(附56例报告),中国微创外科杂志,2002,2(增刊):S86-S87.
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[5]钟惟德,魏鸿蔼,李逊,等. ESWL与输尿管镜治疗输尿管下段结石的比较.临床泌尿外科杂志,2000,15:495-496.

更新日期/Last Update: 2014-03-11