中国全科医学2011，Vol.14Issue(30)：3478-3480,3.
经尿道输尿管硬镜下治疗输尿管结石失败原因分析及处理
Causal Analysis and Management of Failed Treatment of Ureteral Calculi Using Transurethral Ureteral Hard Microscope
潘家强 1覃展偶 2龚明军1
作者信息
- 1. 541100广西临桂县,桂林医学院附属医院临桂分院,临桂县人民医院泌尿外科
- 2. 桂林医学院附属医院泌尿外科
- 折叠
摘要
Abstract
Objective To investigate the causes and management of failed treatment of urethral calculi using hard microscopic pneumatic lithotripsy or holmium laser lithotripsy. Methods Retrospective analysis of clinical data from 39 urethral calculi patients suffered failed treatment of ureteral calculi by urethral microscopic pneumatic lithotripsy or holmium laser lithotripsy. Results All the 39 cases suffered failed urethral hard microscopic treatment for ureteral calculi were managed according to different causes, and then followed - up for 3 weeks - 2 months. Effects of lithotripsy were satisfying and all patients recovered with no serious complications. Conclusion Calculus upward displacement to pelvis, distortion, urethral stricture, urethral o-pening abnormalities and intraoperative complications are common causes for failures of urethral microscopic pneumatic lithotripsy. Better operation techniques and flushing speed adjustment can improve the success rate and reduce the complications. For failed surgeries, extracorporeal shock wave lithotripsy ( ESWL ), minimally invasive percutaneous nephrolithotomy ( M - PCNL ) or open surgery might be considered according to the specific conditions.关键词
输尿管结石/输尿管镜检查/肾造口术/经皮Key words
Ureteral calculi/ Ureteroscopy/ Nephrostomy, percutaneous分类
医药卫生引用本文复制引用
潘家强,覃展偶,龚明军..经尿道输尿管硬镜下治疗输尿管结石失败原因分析及处理[J].中国全科医学,2011,14(30):3478-3480,3.
