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肾结石行ESWL后大量碎石下移,易堆积在输尿管中,形成所谓“石串”。若不及时处理,会使肾功能受到影响。我院自1988年5月开展ESWL以来,遇到10例长度均超过5cm的“石串”患者,采用输尿管扩张术等处理后排尽碎石。现予介绍。一、资料和方法本组10例,男女各半,年龄32~68岁,平均45.5岁。ESWL前同侧肾结石表面算术平均直径均在3cm以上,最大者4.8cm。其中多发性肾结石8例。鹿角形结石2例(1例为全肾铸形结石)。ESWL前皆行逆行输尿管插管造影,证实输尿管无狭窄。“石串”位于输尿管盆段8例,腰段3例,两段兼
Nephrolithiasis ESWL after a large number of gravel down, easy to accumulate in the ureter, the formation of the so-called “stone string.” If not treated, will affect renal function. Since our hospital started ESWL in May 1988, we encountered 10 cases of “stone string” with length more than 5cm in length. Presently introduced. First, the data and methods The group of 10 patients, half male and female, aged 32 to 68 years, mean 45.5 years old. ESWL ipsilateral kidney stones surface arithmetic mean diameter of more than 3cm, the largest 4.8cm. Eight cases of multiple renal stones. 2 cases of antler-shaped stones (1 case of all-kidney cast stone). ESWL before retrograde ureter intubation angiography confirmed ureter without stenosis. “Stone string” is located in the pelvic ureter in 8 cases, 3 cases of lumbar, two and three