摘要
为评价开放手术对输尿管结石的治疗作用，对425例（443侧）输尿管结石患者选择了开放手术治疗。结果疗效满意，成功率为98．6％。认为开放手术操作简便，疗效确切，在处理复杂性输尿管结石时仍具有重要作用。有下列情况者大多需要作开放手术治疗：①并发输尿管其他梗阻因素的结石。②并发严重感染、巨大积液或患肾功能严重受损的结石。③已出现肾后性肾功能不全的双侧结石或孤立肾输尿管结石。④体外冲击波碎石和（或）腔内操作失败的结石。⑤结石太大（横径＞1．2cm）或停留时间太长（＞3年）的输尿管结石。
To evaluate the treatment effects of open surgery for ureteral calculi,425 cases withureteral calculi treated by open surgery in the past 8 years were retrospectioly analysed. It wasfounol that the following condition might be the indication of open surgery: ①The calculus withther obstructive fector of ureter. ②The calculus with poor kidney function, severe in fection andhydronephrosis. ③Bilateral ureteral calcui or ureteral stone of solitry kindey with postrenal acuterenal failure. ④The calculus after a failed ESWL or endourscopy procedure. ⑤Large stone (D＞1. 2 cm in diamefer) or too long incarcerated at the same position (＞3 years).
出处
《临床泌尿外科杂志》
1998年第11期481-482,共2页
Journal of Clinical Urology
关键词
输尿管结石
开放手术
疗效
Ureteral calculi Open surgery Ureteral obstruction
