论文部分内容阅读
目的:探讨输尿管镜气压弹道碎石联合ESWL治疗双“J”管继发管周结石的临床效果。方法:7例先行ESWL后再行输尿管镜下气压弹道碎石术(TUPI),其余8例均直接行TUPI。通过泌尿系平片判断结石长2.2～15.3厘米。结果:所有15例病历的管周结石均被击碎,将结石击碎后均可以顺利拔除双“J”管,未出现输尿管撕脱或者穿孔等并发症,手术时间10～90分钟。结论:TUPI联合ESWL术是治疗双“J”管因管周继发结石无法拔除时的有效、安全的处理方法。
Objective: To investigate the clinical effect of ureteroscopic pneumatic lithotripsy combined with ESWL in the treatment of double “J” tube circumflexicular stones. Methods: Seven patients underwent first ureteral endoscopic pneumatic lithotripsy (TUPI) followed by ESWL. The remaining eight patients underwent TUPI. Through the urinary plain film to determine the stone length 2.2 ~ 15.3 cm. Results: Tubes and stones were crushed in all 15 cases. The double “J” tubes could be successfully removed after crushing the stones without the complications of ureteral avulsion or perforation. The operation time was 10 to 90 minutes. Conclusions: TUPI combined with ESWL is an effective and safe treatment for double “J” tube due to unresectable stones in the management of the peritubular cavity.