期刊文献+
共找到3篇文章
< 1 >
每页显示 20 50 100
Basketing a basket:A novel emergency rescue technique
1
作者 Fazal Imtiaz Khawaja Mohammed Mushtaque Ahmad 《World Journal of Gastrointestinal Endoscopy》 CAS 2012年第9期429-431,共3页
Fracture of the central lead wire of an impacted basket during a mechanical lithotripsy for large common bile duct(CBD) stones poses a special challenge.Different maneuvers have been described to resolve this problem.... Fracture of the central lead wire of an impacted basket during a mechanical lithotripsy for large common bile duct(CBD) stones poses a special challenge.Different maneuvers have been described to resolve this problem.Most techniques require equipment or facilities which may not be readily available in small community hospitals.We present here a similar situation in a patient with a large stone at the level of the cystic duct.Through the duodenoscope,a smaller Dormia basket was introduced into the CBD along the side of the impacted broken basket.The tip of the impacted basket was grasped and,by pulling downwards,the basket was disengaged from the stone.The two baskets were then removed successfully.We suggest this simple technique should be tried initially,before resorting to more advanced procedures. 展开更多
关键词 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IMPACTED dormia basket MECHANICAL LITHOTRIPSY Fractured dormia basket
下载PDF
经皮肾镜取石术联合套石网篮治疗 ESWL 排空障碍的输尿管上段结石合并肾盏结石 被引量:6
2
作者 周毅 沈翀 +1 位作者 阎家骏 潘建刚 《中国微创外科杂志》 CSCD 2014年第4期344-347,共4页
目的:探讨经皮肾镜取石术( percutaneous nephrolithotomy , PCNL )联合套石网篮治疗体外震波碎石( extracorporeal shock wave lithotripsy ,ESWL)排空障碍的肾盏及输尿管上段结石的临床疗效。方法2009年4月~2012年8月采用PCN... 目的:探讨经皮肾镜取石术( percutaneous nephrolithotomy , PCNL )联合套石网篮治疗体外震波碎石( extracorporeal shock wave lithotripsy ,ESWL)排空障碍的肾盏及输尿管上段结石的临床疗效。方法2009年4月~2012年8月采用PCNL联合套石网篮治疗ESWL排空障碍的输尿管上段结石合并肾盏结石78例。 B超定位,58例肾盏结石长径<1 cm或分布于单组肾盏,采用微通道经皮肾镜下气压弹道碎石;20例肾盏结石长径>1 cm或分布于多组肾盏采用新型经皮肾镜标准通道下气压弹道或超声联合气压弹道碎石。结果78例手术均获成功,手术时间52~98 min,平均61 min。71例一期取净结石,结石取净率91.0%(71/78);2例二期碎石后取净;3例辅助行ESWL治疗;2例因残留结石较小药物排石排出。住院5~12 d,平均7.2 d。无胸膜及其他重要脏器损伤,无大出血等严重并发症。78例随访3个月,未见结石残留。结论PCNL术中联合套石网篮可减少皮肾穿刺通道数,避免大出血及集合系统狭窄风险,是处理ESWL排空障碍的肾盏及输尿管上段结石恰当的选择。 展开更多
关键词 经皮肾镜取石术 套石网篮 肾盏结石 输尿管上段结石
下载PDF
Endoscopic Management of Bladder Stones: Initial Experience at a Single Center in Cameroon
3
作者 Cyril Kamadjou Annie Kameni +3 位作者 Herve Moby Dolly Bilonda Kolela Achille Mbassi Fru Angwafor 《Open Journal of Urology》 2022年第5期276-285,共10页
Purpose: This study aimed to evaluate the efficacy and safety of endoscopic lithotripsy with the lithoclast (EMS, Switzerland) and laser Holmium YAG in the management of bladder calculi. Materials and methods: This wa... Purpose: This study aimed to evaluate the efficacy and safety of endoscopic lithotripsy with the lithoclast (EMS, Switzerland) and laser Holmium YAG in the management of bladder calculi. Materials and methods: This was a retrospective study carried out from January 2013 to December 2019 on 32 patients with bladder calculi. All the patients underwent either Lithoclast or Laser lithotripsy using a 22F Storz cystoscope at the Centre medico-chirugicale d’urologie in Douala, Cameroon. Data on patients’ ages, clinical symptoms, stone sizes, type of lithotripsy, surgery duration, and results of lithotripsy were collected and analyzed using Epi info 7. Results: We recruited 32 participants (24 men and 8 women) with a median age of 41.28 [22 - 68] years into this study. In 9 (28.12%) participants, macroscopic hematuria was the main presenting complaint, followed by lower urinary tract symptoms in 8 (25%) patients. A cystoscopy was performed in 17 (53.12%) patients to confirm the diagnosis of a bladder stone, and ultrasonography of the upper urinary tract was performed in 29 (90.6%) cases to certify the absence of another stone. Lithoclast EMS was used to manage the stones in 23 (71.87%) patients while laser lithotripsy was used in 9 (28.13%). A dormia basket was used to remove stone fragments in 10 (31.25%) patients. The mean surgery duration was 33.59 ± 14.2 minutes, and the bladder stones were successfully managed in all the participants of this study. Minor complications such as pain during micturition were found in 28 (87.37%) patients, with complete resolution occurring two weeks after surgery. Conclusion: Endoscopy with lithotripsy is a safe and effective method of management of bladder stones. This technique is also associated with short surgical procedures and postoperative hospitalization periods. We believe that it is an excellent treatment modality in the management of bladder stones. 展开更多
关键词 Bladder Stone LITHOTRIPSY Mini-Invasive Surgery dormia basket
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部