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| Y型输尿管畸形并输尿管结石的微创治疗 | |
| 引用本文： | 沈寅洲,温机灵,陆佳荪,仇广明,金勇超,周磐石. Y型输尿管畸形并输尿管结石的微创治疗[J]. 中华腔镜泌尿外科杂志(电子版), 2011, 5(2): 135-138. DOI: 10.3877/cma.j.issn.1674-3253.2011.02.014 |
| 作者姓名： | 沈寅洲 温机灵 陆佳荪 仇广明 金勇超 周磐石 |
| 作者单位： | 1. 同济大学附属东方医院泌尿外科,上海,200120 2. 上海市第七人民医院,上海,200137 |
| 摘 要： | 目的探讨Y型输尿管畸形并输尿管结石的诊断与微创治疗方法。方法回顾性分析2002年6月至2009年8月本院收治的11例Y形输尿管结石患者的临床资料。结石位于Y型输尿管汇合处以下3例,Y型输尿管交接部以上8例,左侧5例,右侧6例。术前静脉肾盂造影（IVU）确诊4例,CT泌尿系重建（CTU）确诊11例。结果体外冲击波碎石（ESWL）治疗3例,结石清除2例,l例患者术后结石嵌顿于Y型输尿管交接部,行输尿管镜钬激光碎石术。输尿管镜钬激光碎石术治疗8例,结石完全清除7例。1例患者因Y型输尿管交接部狭窄,置镜失败,放置输尿管双J管1个月后再次行输尿管镜手术顺利碎石。所有患者均无输尿管损伤、感染性休克等严重并发症。7例肾积水患者超声随访,随访6～24个月,6例患肾积水有不同程度改善。结论 CTU是Y型输尿管结石最有效的影像学检查手段,无其他并发症的单纯Y型输尿管结石采用ESWL或输尿管镜碎石治疗安全有效。 |
| 关 键 词： | 输尿管结石 泌尿生殖系统畸形 |
Minimally invasive treatment for ureteral calculi in incomplete ureteral duplication |
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| SHEN Yin-zhou,WEN Jiling,LU Jia-sun,QIU Guang-min,JIN Yong-chao,ZHOU Pan-shi. Minimally invasive treatment for ureteral calculi in incomplete ureteral duplication[J]. , 2011, 5(2): 135-138. DOI: 10.3877/cma.j.issn.1674-3253.2011.02.014 | |
| Authors: | SHEN Yin-zhou WEN Jiling LU Jia-sun QIU Guang-min JIN Yong-chao ZHOU Pan-shi |
| Affiliation: | SHEN Yin-zhou*,WEN Jiling,LU Jia-sun,QIU Guang-min,JIN Yong-chao,ZHOU Pan-shi.*Department of Urology,Shanghai East Hospital of Tongji University,Shanghai 200120,China |
| Abstract: | Objective To investigate the diagnosis and minimally invasive treatment for ureteral calculi in incomplete ureteral duplication.Methods The clinical data on 11 patients with ureteral calculi in incomplete ureteral duplication from June 2002 to Apria 2009 in our hospital were retrospectively analysed.The stone located below the confluence of double ureters in 8 cases and above in 3 cases.4 cases were diagnosed by IVU preoperatively,while 11 cases by CTU.Results 3 patients were treated by extracorporeal shock... |
| Keywords: | Ureteral calculi Urogenital abnormalities |
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