摘要
目的 :提高输尿管结石的取石成功率。方法 :患者取健侧卧位 ,在B超引导下经皮肾穿刺造瘘 ,并将通道扩张到F1 6～ 1 8,从通道插入输尿管镜到结石部位 ,将结石击碎后取出。用此方法治疗输尿管结石患者 2 0例。结果 :本组 2 0例中 ,1例因出血较多改行Ⅱ期取石术 ,其余 19例均Ⅰ期取石成功。结论 :该手术创伤小、恢复快 。
Purpose:Removal of ureteral calculi through nephrocutaneous tract can prevent stones from moving up to the kidney.Methods:With the patient in the lateral recumbent position, percutaneous nephrostomy under ultrasonography was performed. The tract was dilated to 16 or 18F, through which stones were first broken into small pieces and then removed from ureter by ureteroscope. Results:In 19 of the 20 cases, stones were successfully removed by one stage PUL (Percutaneous Ureterolithotomy), only one case was done by two stages because of bleeding.Conclusions:Percutaneous Ureterolithotomy under Ultrasonography results in less tissue injury and quicker recovery, and is especially suitable for those patients with upper ureteral calculi accompanied by hydronephrosis.
出处
《临床泌尿外科杂志》
2002年第8期411-412,共2页
Journal of Clinical Urology
