| 输尿管上段嵌顿性结石处理 |
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| 引用本文： | 沈周俊,芮文斌.输尿管上段嵌顿性结石处理[J].现代泌尿外科杂志,2014(11):709-711. |
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| 作者姓名： | 沈周俊 芮文斌 |
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| 作者单位： | 上海交通大学医学院附属瑞金医院泌尿外科,上海,200025 |
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| 摘 要： | 输尿管上段嵌顿结石需要手术干预,目前多采用经尿道输尿管镜碎石术(URL)、微创经皮肾镜碎石术(mPCNL)以及腹膜后腹腔镜输尿管切开取石术(RUL)。由于后二种手术结石清除率高,故作为首选治疗方法。但需根据建立到达结石通道的成功率、碎石或取石的成功率、手术并发症发生率及个体差异等做出合理的选择。
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| 关 键 词： | 输尿管结石 经尿道输尿管镜碎石术 微创经皮肾镜碎石术 腹膜后腹腔镜输尿管切开取石术 |
Treatment of impacted proximal ureteral stones |
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| SHEN Zhou-jun,RUI Wen-bin.Treatment of impacted proximal ureteral stones[J].Journal of MOdern Urology,2014(11):709-711. |
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| Authors: | SHEN Zhou-jun RUI Wen-bin |
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| Institution: | SHEN Zhou-jun;RUI Wen-bin;Department of Urology,Affiliated Ruijin Hospital,Medical School of Shanghai Jiaotong University; |
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| Abstract: | Operative intervention is necessary for impacted proximal ureteral stones ,including ureteroscopic lithotripsy , minimal‐invasive percutaneous nephrolithotomy （mPCNL） and retroperitoneal ureterolithotomy （RUL） .At present ,mPCNL and RUL are considered first‐line therapies due to the high stone‐free rate .However ,the most appropriate therapeutic regi‐men should be determined after a thorough evaluation .The success rate of establishing operative channel and removing stones , complication rate and individual differences should be taken into consideration . |
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| Keywords: | ureteral stone ureteroscopic lithotripsy minimal-invasive percutaneous nephrolithotomy retroperitoneal ure-terolithotomy |
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