摘要
泌尿系结石患者,经静脉肾盂造影(IVP)检查,可发现不少病例由于结石嵌顿使患肾排泄功能不良甚至不显影。这类病人行体外震波碎石(ESWL)治疗时,因尿液很少或无尿液而使碎石及排石效果很不理想。过去常把这类病例作为ESWL治疗的相对禁忌症。我院对该类患者在治疗前经膀胱行输尿管逆行插管,并在术中术后经输尿管导管持续滴注生理盐水,使碎石和排石效果明显改善。说明肾排泄功能不良的上尿路结石是完全有可能经ESWL治疗而达到治愈目的的。
Some patients with upper urinary tract calculi have incompetent kidney in discharge because of obstruction of stone in its ureter. If this kind of case receives extracorporeal shock-wave lithotripsy (ESWL) , the effect is not good. But we give these patients a pre-ESWL internal ureteral stenting that passes through the place of obstruction and reaches the kidney. Then 0.9%NS is dripped through the ureteral stenting continuously during the procedure of ESWL and after ESWL. The effect of disruption and discharge of stones is improved obviously.
关键词
肾功能不良
尿路结石
体外震波碎石
incompetency in discharge
extracorporeal shock-wave lithotripsy (ESWL)
ureteral stenting
