摘要
目的探讨采用输尿管镜治疗体外冲击波碎石（ESWL）失败的输尿管结石的临床特点及临床方法。方法回顾分析我院2005年1月—2006年10月采用输尿管镜气压弹道碎石术治疗ESWL失败的52例输尿管结石患者的临床资料。其中8例合并结石远端输尿管狭窄,21例合并息肉包裹。52例皆合并轻-中度肾积水。结果本组52例,41例（78.8%）单次手术碎石成功,6例（11.5%）结石向上移位至肾盂术后再行ESWL治疗,5例（9.6%）改开放手术治疗。结论ESWL治疗失败的输尿管结石多属复杂性结石;初始的ESWL治疗使进一步腔镜处理较为困难;采用输尿管镜处理多安全、有效,部分病例需改开放手术治疗。
Objective To review the characteristics of ureteral calculi having failed in initial ESWL and the ureteroscopic method for the management of the condition. Methods 52 cases of ureteral calculi treated from January 2005 to October 2006 were viewed, which were failures to ESWL and were treated by ureteroscopic pneumatic lithotripsy. In this series, there were 8 cases complicated by ureteral stricture, 21 cases by polypus, and all of them had moderate hydrone phrosis. Results 41 out of the 52 （78.8%） patients were successfully cured after one single procedure of the uretero- scopic lithotripsy, 6 were treated by ESWL again when the calculi had been pushed up into the renal pelvis by the ureteroscopy, while the other 5 complicated patients were assigned to undergo open surgery. Conclusion Ureteral calculus failures to ESWL are usually complicated conditions. The initial ESWL theraphy may make it difficulty for the secondary ureteroscopy to succeed. Ureteroscopic lithotripsy is safe and effective, but in some cases, open surgery is still indicated.
出处
《徐州医学院学报》
CAS
2007年第6期405-407,共3页
Acta Academiae Medicinae Xuzhou
关键词
输尿管结石
体外冲击波碎石
输尿管镜术
ureteral calculi
extracorporeal shock wave lithotripsy
ureteroscopy
