摘要
目的探讨输尿管镜下气压弹道碎石治疗输尿管结石失败后体外冲击波碎石术（ESwL）补救的治疗效果。方法回顾性分析2008年3-12月输尿管结石患者23例，均为输尿管镜下气压弹道碎石术失败，采用ESWL补救治疗，观察碎石的效果。结果23例经体外冲击波碎石治疗，碎石效果良好，碎石逐步随尿液排出体外，1-2周后在膀胱镜下拔除双J管，复查KUB示无残余结石。结论输尿管镜下气压弹道碎石对于输尿管下段结石效果较好，上段结石容易因结石上漂造成气压弹道碎石失败，体外冲击波碎石提供了补救治疗的方法，碎石效果好。
Objective To evaluate extracorporeal shock-wave lithotripsy （ESWL）in the treatment of ureteral calculi,in which treatment with transureteroscopic pneumatic lithotripsy was failed. Methods 23 cases of ureteral calculi,in which treatment with transureteroscopic pneumatic lithotripsy were failed, were treated with ESWL, to observe the effect of ESWL. Results 23 cases were treated successfully with well effect which showed stone free with urine. The DJ tubes were pull out under cystoscope after 1-2 weeks.There were no retained calculus when KUB rechecked. Conclusion Treatment of inferior segment ureteral calculi with transureteroscopic pneumatic lithotripsy is better and effective. But to superior segment ureteral calculi is easy to fail because of upward displacement of the stone. ESWL should be the first choice for superior segment ureteral stone after treatment with transureteroscopic pneumatic lithotripsy is failed.
出处
《中国现代医生》
2009年第12期63-64,共2页
China Modern Doctor
关键词
气压弹道碎石
输尿管结石
ESWL
Ureteral calculi
Transureteroscopic pneumatic lithotripsic
ESWL
