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为解决输尿管下段结石定位难、碎石难、成功率低的问题,我院采用自制气囊管在直肠内置气囊的方法,应用于国产BD8828 Ⅰ型体外震波碎石机治疗输尿管下段结石50例,取得了满意的效果,现予介绍。一、方法俯卧位,以充盈之膀胱为窗口,一般均能在膀胱左、右侧下方顺利地探及扩张的输尿管和结石光团。定位后予静脉内注入安定10mg杜冷丁75mg。待患者静睡后,将消毒好的自制气囊管缓慢地插入直肠内,并注入空气250~300ml。此时结石光团可抬高2.0~3.0cm,利于震波碎石。治疗
In order to solve the problem of difficult location of ureteral stones, difficult gravel, the success rate is low, our hospital using homemade balloon tube in the rectum balloon method used in domestic BD8828 Ⅰ type of extracorporeal shock lithotripsy 50 cases of lower ureteral calculi, obtained Satisfactory results, are introduced. First, the method prone position to filling the bladder as a window, generally in the bladder left and right below the smooth exploration and expansion of the ureter and stone light group. After positioning to intravenous injection of 10mg of pethidine 75mg. After the patient is asleep, the sterile homemade balloon tube is slowly inserted into the rectum and infused with 250-300 ml of air. At this point stones can be elevated light group 2.0 ~ 3.0cm, which is conducive to shock wave lithotripsy. treatment