摘要
目的探讨输尿管石街高效简便的治疗方法。方法局麻浸润麻醉下输尿管镜碎石取石术(URL)联合体外冲击破碎石术(ESWL)治疗输尿管石街27例。结果27例均成功碎石取石及置入D-J管。随访1 ̄3个月,25例排尽结石,2例合并脓肾,仍残存结石,ECT检查GRF<12mL/s,行肾切除术。未出现手术并发症。结论URL联合ESWL治疗输尿管石街、高效安全、局部浸润麻醉下可进行,操作简单方便,是有效的治疗手段,合并脓肾者须慎重。
Objective] To seek the preferable and easier therapy for the ureteral steinstrasse. [Methods] 27 cases of patients with ureteral steinstrasse were treated by combination of ureteroscopic lithotripsy(URL) and ESWL in local infiltration anesthesia. [Results] All cases were successful and had put in D-J, less operative complication. Followed-up for 1~3 months after operation, 25 cases were stone-free and 2 cases had residual stones. The reason of residual stones was pyogenic infection. [Conclusions] It′s considered that the combination therapy of URL and ESWL for ureteral steinstrasse has advantages of high effectiveness and safety. The procedure is claimed to be the effectual and easy therapies for ureteral steinstrasse.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第5期504-505,508,共3页
China Journal of Endoscopy