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体外冲击波碎石(ESWL)术是目前治疗尿路结石的首选方法,但在治疗〉2cm肾结石时,ESWL所致“石街”以及由其导致的发热、脓肾等并发症,会对患肾功能造成一定损伤,严重者可导致急性梗阻性肾损伤。近期,我们对肾结石157例预置双J管后行ESWL治疗,预防并发症效果满意。现分析报告如下。 相似文献
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中西医三联合法治疗较大肾结石的临床应用 总被引:1,自引:0,他引:1
体外震波碎石(ESWL)治疗泌尿系结石具有创伤小、安全、恢复快等优点,而以ESWL治疗肾结石,确有许多禁忌证。本文主要研究直径大于1·8 cm的肾结石在诊断与治疗过程中,减少禁忌证、扩大适应证的思路与途径。我院自2000年8月~2005年12月对156例肾结石病人,采取先放置双J管,再行ESW 相似文献
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双J管留置体内致肾输尿管全程结石并膀胱巨大结石1例 总被引:1,自引:0,他引:1
病人,男,52岁,哈萨克族.5年半前曾行"右输尿管下段结石切开取石术",术中置一双J管,嘱其1个月后拔除.因出院后一直无不适感,将拔管遗忘,近2 d 出现右下腹部疼痛不适伴肉眼血尿,来我院求治,查体:T37.1,P 80次/min,R 20次/min,BP 18/10 kPa(1 kPa=7.5 mmHg),全身皮肤黏膜无黄染,浅表淋巴结无肿大.心肺检查无异常表现.右肾区压痛、叩击痛,右输尿管行程区压痛,左肾区及左输尿管行程区无压痛,膀胱区隆起,可触及一大小约5.0 cm×6.0 cm×3.0 cm 包块,质硬、表面粗糙、边界清楚、可活动,有压痛. 相似文献
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孤立肾结石的治疗一直是泌尿外科临床工作中的难题,治疗相对复杂。采用传统的开放手术,肾功能损害大,手术风险高。我院自1995年8月~2004年6月采用深圳科达公司生产NE-V型电磁波体外震波碎石机,采用B超监视,治疗孤立肾结石25例,取得良好效果。1对象和方法1·1对象25例中,男17例,女8例;年龄18~71岁,平均35·6岁。一侧肾先天发育不良或缺如16例,因外伤、结石、感染行单侧肾切除9例。碎石前均行腹部平片(KUB)、静脉肾盂造影(IVP)、B超检查确诊。肾结石长径最大4·5 cm,平均1·5 cm,其中结石长径≥2 cm 13例。碎石前常规行血常规、尿常规、… 相似文献
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目的探讨输尿管手术放置双J管的适用范围,留置时间及注意事项等有关临床问题。方法对366例因不同原因行输尿管手术患者均留置双J管,肾盂、输尿管交界处的手术,将导丝从双J管的肾端侧孔插入;输尿管手术,将导丝从双J管中部侧孔插入;为证实导管是否插入膀胱,在膀胱内注入亚甲兰300~500ml。结果360例术后切口全部Ⅰ期愈合;带管时间20~60d;360例顺利从膀胱拔管,5例置管失败,双J管残留于输尿管(3例经输尿管镜取出,2例再次行手术取管),1例留置时间超过6个月,双J管尿盐沉积,采用开放性手术取出。结论任何原因引起的输尿管梗阻、狭窄均可使用双J管作支架内引流,留置时间视具体病情而定,一般应控制在20~40d之间。 相似文献
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目的 研究肾结石患者经不同能量的冲击波碎石治疗后,患者肾血流的近期变化,并探讨体外冲击波碎石治疗最优能量.方法 29例肾结石患者,分为两组,分别用9~10kV(19例)、10~11kV(10例)进行体外冲击波治疗,并在治疗前即时、后24~72h行双能量多层螺旋CT灌注扫描,监测患者肾脏各项灌注参数,并同时监测治疗前后血肌酐、尿素氮等参数变化.结果 肾结石患者碎石前、后肾脏结石周围区域(能量冲击中心区域)各项灌注参数MIP、血流量(BF)、血容量(BV)、对比剂达峰时间(TTP)、毛细血管表面通透性(PS)及平均通过时间(MTT)均存在统计学差异,P<0.05;远结石区域治疗前、后各项灌注参数无统计学差异,P>0.05.治疗前、后血肌酐、尿素氮无统计学差异,P>0.05.结论 本研究表明CT灌注成像各项血流动力学参数变化可用于评估体外冲击波碎石治疗前、后肾功能的变化,且血流灌注参数变化早于血肌酐、尿素氮等变化.此外,本研究证实9~10kV、10~11kV为肾结石体外冲击波治疗的安全能量. 相似文献
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Mohamed Abd Ellah Christian Kremser Leo Pallwein Friedrich Aigner Michael Schocke Reinhard Peschel Florian Pedross Germar-Michael Pinggera Christian Wolf Mostafa A.M. Alsharkawy Werner Jaschke Ferdinand Frauscher 《European journal of radiology》2010,76(1):124-128
The annual incidence of stone formation is increased in the industrialised world. Extracorporeal shockwave lithotripsy is a non-invasive effective treatment of upper urinary tract stones. This study is aimed to evaluate changes of renal blood flow in patients undergoing extracorporeal shock wave lithotripsy (ESWL) by arterial spin labeling (ASL) MR imaging, contrast enhanced dynamic MR imaging, and renal resistive index (RI). Thirteen patients with nephrolithiasis were examined using MR imaging and Doppler ultrasound 12 h before and 12 h after ESWL. ASL sequence was done for both kidneys and followed by contrast enhanced MR imaging. In addition RI Doppler ultrasound measurements were performed. A significant increase in RI (p < 0.001) was found in both treated and untreated kidneys. ASL MR imaging also showed significant changes in both kidneys (p < 0.001). Contrast enhanced dynamic MR imaging did not show significant changes in the kidneys. ESWL causes changes in RI and ASL MR imaging, which seem to reflect changes in renal blood flow. 相似文献
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【摘要】 增生性瘢痕具有发病率高、治疗难度大、易影响局部功能及易复发等特点,临床治疗较为棘手。近年来,随着体外冲击波疗法(extracorporeal shock wave therapy,ESWT) 的不断普及,部分研究学者发现,其能够在无创条件下到达瘢痕组织深层,对紊乱的胶原组织进行松解,从而改善瘢痕外观、缓解瘢痕疼痛及瘙痒等症状,在增生性瘢痕的治疗中具有独特的优势。然而,目前该项研究尚处于初始阶段,关节处增生性瘢痕应用ESWT 治疗的研究以及ESWT 治疗增生性瘢痕作用机制的研究均较少,且治疗参数、频率、剂量等的设置问题尚缺乏统一标准。为此,笔者对ESWT 治疗增生性瘢痕的研究进展进行了综述,并分析了其治疗增生性瘢痕的作用机制,旨在为ESWT 治疗增生性瘢痕的进一步研究提供帮助。 相似文献
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目的探讨血清白介素6(IL-6)和胱抑素C(CysC)联合检测对糖尿病肾脏疾病(DKD)早期诊断的价值。方法在164例糖尿病(DM)患者中,120例尿白蛋白排泄率(UAER)<20μg/min无早期肾损伤者为DM组,44例UAER 20~200μg/min的DKD患者为DKD组;同时选取50例健康体检者作为对照组。分别测定三组入选者的IL-6和CysC水平,并进行统计学分析。结果与健康对照组相比,DM组和DKD组的IL-6、CysC和hs-CRP水平均高于对照组(P<0.01);与DM组相比,DKD组以上三项检测指标水平均高于DM组(P<0.01);IL-6和CysC联合检测阳性率明显高于单项检测(P<0.05);IL-6和CysC阳性组hs-CRP水平明显高于阴性组(P<0.01)。结论联合检测IL-6和CysC有利于提高DKD检测的阳性率,对DKD的早期诊断有意义;IL-6和CysC对疾病活动的判断有重要价值。 相似文献
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RATIONALE AND OBJECTIVES: Renal tubular vacuolization (RTV), which has been shown to occur after the use of iodinated contrast material, may be one of the earliest signs of contrast medium-induced renal injury. In this study, the authors tested a method for preventing RTV with the administration of acetylcysteine, theophylline, or both, prior to contrast medium administration. MATERIALS AND METHODS: Eighty rats were randomly selected for inclusion in the study. The treatment group consisted of three subgroups, each of which received prophylactic acetylcysteine, theophylline, or both before injection of iohexol. The control group comprised five subgroups, each of which received acetylcysteine, theophylline, both, normal saline injection, or orally administered normal saline prior to iohexol injection. RESULTS: The occurrence of RTV in the treatment groups was compared with that in the control subgroup that received normal saline and iohexol. All of the rats in that control subgroup (n = 10) and 97% of the rats in the treatment group (n = 30) developed RTV. CONCLUSION: The administration of acetylcysteine, theophylline, or both prior to iohexol injection did not prevent RTV from occurring in rats. 相似文献
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