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我院一年多年来对4例输尿管结石因多次ESWL失败而手术治疗,术中发现输尿管及周围损伤严重,并经病理证实,报告如下: 1 临床资料 年龄36～58岁。男3例,女1例。右侧2例,一例为肾下极输尿管中上段多发阳性结石,左侧2例;输尿管上段2例,中段2例。病史:10年2例,8年1例,5年1例。结石大小:1.5×1cm2例。1.2×0.8cml例。1×0.9cml例。ESWL前作KUB、IVU、B超等检查,为输尿管结石伴肾脏和输尿管不同程度积水,造影剂梗阻。治疗史:1例5年前ESWL6次,2年前复震4次,1例3年前前ESWL4次,2年前复震4次,2例半年前ESWL4次。4例中每次ESWL后均有少量砂
Over the past year in our hospital for 4 cases of ureteral stones due to multiple ESWL failure and surgical treatment, found during and after surgery ureter and serious damage, and confirmed by pathology, the report is as follows: 1 clinical data age 36 to 58 years. 3 males and 1 female. The right side in 2 cases, one case of renal inferior pole in the upper ureter with multiple positive stones, left in 2 cases; upper ureter in 2 cases, 2 cases in the middle. History: 2 cases in 10 years, 1 case in 8 years and 1 case in 5 years. Stone size: 1.5 × 1cm2 cases. 1.2 × 0.8cml cases. 1 × 0.9cml cases. ESWL before KUB, IVU, B ultrasound examination for ureteral calculi with varying degrees of kidney and ureteral water, contrast agent obstruction. Treatment history: 1 case 5 years ago ESWL 6 times, 2 years ago, the earthquake 4 times, 1 case 3 years ago ESWL 4 times, 2 years ago, the earthquake 4 times, 2 cases six months ago ESWL 4 times. Four cases had a small amount of sand after each ESWL