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URL结合微创PCNL治疗严重输尿管石街
引用本文:李逊,何朝辉,曾国华,吴开俊,叶向东,陈文忠,夏明义. URL结合微创PCNL治疗严重输尿管石街[J]. 临床泌尿外科杂志, 2002, 17(11): 587-588
作者姓名:李逊  何朝辉  曾国华  吴开俊  叶向东  陈文忠  夏明义
作者单位:广州医学院第一附属医院微创外科中心泌尿外科,广州,510230
摘    要:目的:总结输尿管镜取石术(URL)结合微创经皮肾穿刺取石术(mini-PCNL)治疗严重输尿管石街的经验。方法:对45列严重输尿管石街(平均长14.3cm)采用输尿管镜下用气压弹道碎石器将结石上推到肾盂后再结合mini-PCNL顺行取石。结果:所有病例均一次性取尽输尿管内结石,且无输尿管穿孔,狭窄及大出血等并发症发生。结论:URL结合微创PCNL治疗严重输尿管石街,不仅显著缩短了手术时间,降低输尿管损伤的风险性,也可同时处理肾内结石,是一较佳手术方法。

关 键 词:输尿管石街 输尿管镜取石术 经皮肾取石术 微创外科
文章编号:1001-1420(2002)11-0587-02
修稿时间:2002-05-27

Treatment of the severe ureteral steinstrasse with ureteroscopic lithotripsy and minimally invasive percutaneous nephrolithotomy
LI Xun HEZhaohui ZENG Guohua WU KaijunYE Xiangdong CHEN Wenzhong XIA Mingyi. Treatment of the severe ureteral steinstrasse with ureteroscopic lithotripsy and minimally invasive percutaneous nephrolithotomy[J]. Journal of Clinical Urology, 2002, 17(11): 587-588
Authors:LI Xun HEZhaohui ZENG Guohua WU KaijunYE Xiangdong CHEN Wenzhong XIA Mingyi
Abstract:Purpose:To sum up the experiences in the treatment of serious ureteral steinstrasse with uretero-scopic lithotripsy (URL) and minimally invasive percutaneous neprolithotomy (mini-PCNL). Method:From Aug, 1998 to Dec, 2001, 45 patients of severe ureteral steinstrasse(average 14. 3 cm) were managed by mini-PCNL after the stones were pushed back to the renal pelvic under the ureteroscopy and pneumatic lithotripy. Result: All cases were stone-free with one procedure, and no complications such as ureter perforation^ avulsion, severe bleeding happened. Conclusion:Using URL and mini-PCNL to manage serious ureteral steinstrasse can drastically shorten the operative time and lessen morbidity, and undoubtedly this is a excellent modality.
Keywords:Ureteral calculi  Ureteroscopic lithotripsy  Percutaneous neprolithotomy
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