论文部分内容阅读
目的:总结冠脉支架术后的输尿管镜下输尿管结石碎石取石术。方法:34(男28例、女6例)例带冠脉支架的输尿管结石患者,其中左输尿管结石19例(左输尿管上段结石1例,中输尿管中段结石2例,左输尿管下段结石16例)右输尿管结石15例(右输尿管上段结石1例,右输尿管下段结石14例),结石大小0.6*.8cm-.8*1.5cm。年龄:46-79岁。平均61岁。冠脉支架术后2月-11年。评估手术、麻醉风险,调整血压、改善心功能、停用抗凝药物(4例患者冠脉支架术后6月内未停用抗凝药物),行输尿管镜下输尿管结石碎石取石术,术后3天继续服用抗凝药物。结果:34例患者术后复查X结石完全清除,所有患者均安全度过围手术期,未出现严重并发症,无死亡病例。结论:对带冠脉支架的输尿管结石患者,输尿管结石输尿管结石碎石取石术是一个安全有效的治疗方法。
OBJECTIVE: To summarize the ureteroscopic ureteral lithotripsy after coronary stenting. Methods: Thirty-four (28 males and 6 females) patients with ureteral calculi with coronary stents were enrolled. Among them, 19 cases had left ureteral calculi (1 case of upper left ureteral calculi, 2 cases middle ureteral calculi, and 16 cases left lower ureteral calculi) Right ureteral calculi in 15 cases (upper right ureteral calculi in 1 case, right lower ureteral calculi in 14 cases), stone size 0.6 * .8 cm-.8 * 1.5cm. Age: 46-79 years old. Average 61 years old. Coronary stent in February to 11 years. Evaluation of surgery, anesthesia risk, adjusting blood pressure, improving cardiac function, discontinuation of anticoagulant drugs (4 patients without coronary anticoagulation after coronary stenting within 6 months), ureteroscopic ureteral lithotripsy After 3 days to continue taking anticoagulants. Results: All 34 patients were completely resected after X-ray. All patients were safely peri-operatively underwent no serious complications and no deaths. Conclusions: Ureteral stone lithotripsy is a safe and effective treatment for patients with ureteral calculi with coronary stent.