体外冲击波碎石后“石街”的输尿管镜治疗(附25例报告)

• 作 者: 陈仰之 陆曙炎 邹建纲 周忠兴 吴小鹏
• 机 构: 常州市第二人民医院泌尿外科,常州市第二人民医院泌尿外科,常州市第二人民医院泌尿外科,常州市第二人民医院泌尿外科,常州市第二人民医院泌尿外科 江苏常州213003,江苏常州213003,江苏常州2130
• 出 处: 江苏大学学报(医学版)
• 发表日期: 2002年04期
• 关键词: 内窥镜术 碎石术 尿路结石

目的 :探讨输尿管镜下液电碎石、气压弹道碎石结合取石在治疗体外冲击波碎石 (ESWL)后“石街”中的价值。方法 :自 1997年 8月～ 2 0 0 1年 10月采用输尿管镜下液电碎石、气压弹道碎石结合取石共治疗了“石街”2 5例。结果 :“石街”疏通成功 2 4例 ,成功率 96 % (2 4 2 5 ) ,并发症发生率 2 0 % (5 2 5 ) ,输尿管穿孔 1例 ,其他并发症 4例 ,包括血尿、发热、腰痛。结论 :输尿管镜下液电碎石、气压弹道碎石结合取石治疗是处理“石街”的有效方法。

Objective: To investigate the value of ureteroscopic electrohydraulic lithotripsy and pneumatic lithotripsy combined with lithotripsy in the treatment of stone street after extracorporeal shock wave lithotripsy (ESWL). Methods: From August 1997 to October 2001, 25 cases of “Stone Street” were treated with ureteroscopic electrohydraulic lithotripsy, pneumatic lithotripsy and lithotripsy. RESULTS: Totally 24 cases were successfully dredged in Stone Street, with a success rate of 96% (2 45 5), complication rate of 20% (5 2 5), ureter perforation in 1 case and other complications in 4 cases including hematuria, Fever, back pain. Conclusion: The ureteroscopic electrohydraulic lithotripsy, pneumatic lithotripsy combined with stone treatment is an effective way to deal with “Stone Street”.