| 输尿管结石ESWL失败后腔内手术治疗的选择 |
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| 引用本文： | 孙毅海,苏小壮,陶卫琦,刘昕,黄才胜,黄超斌. 输尿管结石ESWL失败后腔内手术治疗的选择[J]. 临床泌尿外科杂志, 2012, 0(4): 289-290,293 |
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| 作者姓名： | 孙毅海 苏小壮 陶卫琦 刘昕 黄才胜 黄超斌 |
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| 作者单位： | 广西医科大学第三附属医院泌尿外科 |
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| 摘 要： | 目的:探讨输尿管结石体外冲击波碎石(ESWL)失败后行腔内手术治疗的选择。方法:回顾分析153例输尿管结石ESWL失败后接受腔内手术治疗的患者,其中微创经皮肾镜碎石术(MPCNL)20例,输尿管镜碎石术(URL)133例。结果:20例MPCNL患者碎石成功率100%(20/20);133例URL患者碎石成功率81.2%(108/133),3例中转开放手术取石,22例结石上移或残留而再次行ESWL。结论:对于ESWL失败的输尿管结石,选择腔内手术是安全而有效的治疗手段,适应症的掌握、手术方式及时机的选择是治疗成功的关键。
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| 关 键 词： | 输尿管结石 体外冲击波碎石 微创经皮肾镜取石术 输尿管镜碎石术 |
The choice of endoscopic surgery after the failure of ESWL in treating ureteral calculi |
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| SUN Yihai,SU Xiaozhuang,TAO Weiqi,LIU Xin,HUANG Caisheng,HUANG Chaobin. The choice of endoscopic surgery after the failure of ESWL in treating ureteral calculi[J]. Journal of Clinical Urology, 2012, 0(4): 289-290,293 |
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| Authors: | SUN Yihai SU Xiaozhuang TAO Weiqi LIU Xin HUANG Caisheng HUANG Chaobin |
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| Affiliation: | (Department of Urology,the Third Affiliated Hospital of Guangxi Medical University,Nanning,530031,China) |
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| Abstract: | Objective:TO investigate the choice of endoscopic surgery after the failure of extracorporeal shockwave lithotripsy(ESWL) in treating ureteral calculi.Method:One hunder and fifty-three patients with ureteral calculi underwent endoscopic surgery after the failure ESWL were discussed retrospectively.20 patients underwent minimally percutaneous nephrolithotomy(MPCNL),and 133 patients underwent ureteroscopic lithotripsy(URL).Result:The success rate of fragmentation were 100% in MPCNL group(20/20);and 81.2% in URL group(108/133).There were 3 cases converted to open surgery,and 22 cases underwent ESWL again in URL group.Conclusion:The endoscopic surgery is safe and effective for the failure of ESWL in treating ureter calculi.The indications,opportunity and manner of operation are the keys of successful treatments. |
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| Keywords: | ureteral calculi ESWL minimally percutaneous nephrolithotomy ureteroscopic lithotripsy |
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