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ESWL与输尿管镜下气压弹道碎石术联合治疗输尿管结石
引用本文:郁华亮,叶林阳,林茂虎,秦万长,杨渝,李冀渝,苗芮,马晗,朱晓应,郝海鹏.ESWL与输尿管镜下气压弹道碎石术联合治疗输尿管结石[J].临床军医杂志,2007,35(1):62-63.
作者姓名:郁华亮  叶林阳  林茂虎  秦万长  杨渝  李冀渝  苗芮  马晗  朱晓应  郝海鹏
作者单位:解放军总医院第一附属医院,泌尿外科,北京,海淀,100037
摘    要:目的探讨输尿管结石的治疗方法。方法采用体外震波碎石(ESWL)与输尿管镜下气压弹道碎石联合治疗917例输尿管结石,其中单侧结石733例,双侧结石184例,一般先行ESWL,ESWL无法完成或治疗无效时需要用输尿管镜下气压弹道碎石术。结果结石总排净率为99.2%(910/917)。其中ESWL组结石总排净率为93.5%(858/917);气压弹道碎石组结石总排净率为88.1%(52/59)。结论ESWL与输尿管镜下气压弹道碎石术联合治疗输尿管结石安全有效,是理想的治疗方法。

关 键 词:输尿管结石  体外震波碎石术  输尿管镜
文章编号:1671-3826(2007)01-0062-02
收稿时间:2006-11-30
修稿时间:2006年11月30

Combination of ESWL and Ureteroscopic Manipulation for Treatment of Ureter Calculus
Yu Hua-liang,Ye Lin-yang,Lin Mao-hu,Qin Wan-chang,Yang Yu,Li Ji-yu,Miao Rui,Ma Han,Zhu Xiao-ying,Hao Hai-peng.Combination of ESWL and Ureteroscopic Manipulation for Treatment of Ureter Calculus[J].Clinical Journal of Medical Officer,2007,35(1):62-63.
Authors:Yu Hua-liang  Ye Lin-yang  Lin Mao-hu  Qin Wan-chang  Yang Yu  Li Ji-yu  Miao Rui  Ma Han  Zhu Xiao-ying  Hao Hai-peng
Institution:Department of Urinary Surgery, First Affiliated Hospital of PLA General Hospital, Beijing 100037, China
Abstract:Objective To evaluate the treatment of ureter calculus by ESWL and ureteroscopic manipulation. Methods A total of 917 cases of ureter calculus were treated by the combination of extracorporeal shock wave lithotripsy (ESWL) and ureteroscopic manipulation. There were 733 cases of unilateral ureter stones and 184 cases of bilateral ureter stones. The treatment program for ureter calculus was initiated by ESWL. If ESWL was not effective, ureteroscopy and pneumatic lithotripsy would be adopted.Results The total stone-free rate was 99.2% (910/917). In ESWL group, the stone-free rate was 93.5% (858/917). In endoscopic manipulation group, the stone-free rate was 88.1% (52/59). Conclusion The treatment of ureter calculus with ESWL and endoscopic manipulation is effective and safe.
Keywords:ureter calculus  extracorporeal shock wave lithotripsy  ureteroscopy
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