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输尿管肾镜气压弹道碎石配合ESWL治疗肾盂铸形结石
引用本文:夏强,赖建生,张孝斌,郑东升,许胜利,赵国平,李嘉兴. 输尿管肾镜气压弹道碎石配合ESWL治疗肾盂铸形结石[J]. 临床泌尿外科杂志, 2003, 18(11): 661-662
作者姓名:夏强  赖建生  张孝斌  郑东升  许胜利  赵国平  李嘉兴
作者单位:1. 江门市人民医院泌尿外科,广东江门,529000
2. 武汉大学人民医院泌尿外科
摘    要:目的:探讨提高肾盂铸形结石碎石成功率的微创治疗方法.方法:采用输尿管肾镜气压弹道碎石,术中留置双J管,术后配合ESWL治疗肾盂铸形结石32例(34个肾).结果:碎石成功率达100%,6例结石排净率100%,结石最小排净率76.2%,结石总排净率为90.1%,无严重并发症发生.结论:该方法结石排净率高,创伤轻微,手术并发症少,是肾盂铸形结石较为理想的治疗方法之一.

关 键 词:肾结石  输尿管镜  气压弹道碎石术  体外冲击波碎石术
文章编号:1001-1420(2003)11-0661-02
修稿时间:2003-06-27

Clinical evaluation of renoureteroscopy ballast lithotripsy in combination with ESWL for the treatment of pyelolithiasis
XIA Qiang LAI Jiansheng ZHANG Xiaobin ZHENG Dongsheng XU Shengli ZHAO Guoping LI Jiaxing. Clinical evaluation of renoureteroscopy ballast lithotripsy in combination with ESWL for the treatment of pyelolithiasis[J]. Journal of Clinical Urology, 2003, 18(11): 661-662
Authors:XIA Qiang LAI Jiansheng ZHANG Xiaobin ZHENG Dongsheng XU Shengli ZHAO Guoping LI Jiaxing
Affiliation:XIA Qiang 1 LAI Jiansheng 1 ZHANG Xiaobin 2 ZHENG Dongsheng 1 XU Shengli 1 ZHAO Guoping 1 LI Jiaxing 1
Abstract:Purpose:To evaluate a minimal invasion treatment for pyelolithiasis.Methods:32 cases of pyelolithiasis (34 kidneys) were treated by ureteroscopy ballast lithotripsy,and double J catheter was placed during operation, and then followed by postoperative ESWL. The stone surface area and the stone free rates were calculated.Results:The successful rate of lithotripsy were 100% in all the cases, the stone free rate were 100% in 6 cases and 76.2 % in other patients, and the total stone free rate was 90.1 %.Conclusions:This combined treatment had high stone free rate with minimal invasion and less complications and was an ideal treatment for pyelolithiasis.
Keywords:Kidney calculi  Ureteroscopy  Pneumatic lithotripsy  Extracorporeal shock wave lithotripsy
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