摘要
目的:探讨合用阿托品输尿管逆行造影联合IVU定位行ESWL治疗输尿管阴性结石的临床效果。方法:术前138例患者经B超、IVU、CT检查确诊输尿管阴性结石。采用IVU联合应用阿托品针、碘海醇针合剂经输尿管导管持续微泵泵入,行逆行造影(RGU)辅助,经X线定位后,明确结石的部位及大小后行ESWL治疗。留置输尿管导管综合排石治疗3~5天,观察临床碎石效果。结果:本组138例患者经1次ESWL治疗后2~4周,121例(87.8%)结石完全排净,第2次ESWL治疗结石排净10例(7.2%),第3次ESWL治疗结石排净2例(1.4%);2例(1.4%)形成"石街",需行输尿管镜取石;无效3例(2.2%),行开放手术取石,证实结石有炎性肉芽包裹。结论:合用阿托品输尿管逆行造影联合IVU定位行ESWL治疗输尿管阴性结石临床疗效确切,术后留置输尿管导管逆行灌注冲洗利于排石。
Objective:To observe the clinical effects of extracorporeal shock wave lithotripsy(EWSL) by atro: pine retrograde urography combined with intravenous pyelography(IVU) location in treatment of urinary negative calculi. Methods: 138 cases were diagnosed ureteral stones by B-ultrasound, IVU and CT. All the cases combined IVU with atropine needles, continuous pumped iohexol needle mixture through the ureteral catheter micro- pump, retrograde urography (RGU) to assist clearly the stones X-ray location and size before ESWL treatment. Then the cases retained the ureteral catheter and consolidated treatment of the row of stone 3-5 days to observe the clinical effects. Results: Among the 138 cases, 121 patients (87.8%) completely drained after a second 2-4 weeks after the first ESWL treatment; 10 patients (7.2%) completely drained by the second ESWL treatment; 2 pa- tients (1.4 % ) completely drained by the third ESWL treatment; 2 cases (1.4% ) formed a "stone street" and nee- ded to line transurethral ureteroscopic lithotripsy (URL) ; 3 cases (2.2%) were ineffective and needed the opened stone surgery, which cases were confirmed stones wrapped by the inflammatory granulation package. Conclusions: EWSL treatment on urinary negative calculi by atropine retrograde urography combine with intravenous pyelogra- play location is curative effect. Retrograde perfusion washing help stone drain after ESWL.
出处
《临床泌尿外科杂志》
2012年第5期363-365,共3页
Journal of Clinical Urology
关键词
静脉肾盂造影
逆行造影
输尿管结石
体外冲击波碎石
intravenous pyelography
retrograde urography
ureteral calculi
extracorporeal shock-wave litho- tripsy