摘要
目的:评价尿流改道后输尿管结石的治疗方案。方法:回顾性分析8例尿流改道后输尿管结石的处理方法,术前泌尿系腹部平片、泌尿系彩超、肾输尿管膀胱CT平扫明确为输尿管结石,所有患者对症治疗,随访观察1周,患者如结石未自行排出,行体外冲击波碎石术(ESWL)或逆行输尿管镜钬激光碎石。结果:2例患者输尿管结石自行排出;3例患者行ESWL,1例碎石后结石成功排出;5例行逆行输尿管软镜碎石成功。8例患者结石治疗后均未出现并发症。结论:尿流改道后输尿管结石的处理包括短期随访观察、ESWL及逆行输尿管软镜碎石治疗。逆行输尿管软镜碎石是安全有效的,可作为尿流改道患者输尿管结石的理想治疗方法之一。
Objective： To evaluate the treatments of ureteral calculi after urinary diversion. Method： A retro- spective study of eight patients with ureteral calculi after urinary diversion was taken. All patients were identified with urinary tract ultrasound, kidney ureter and bladder X-ray （KUB） and urinary tract CT. All patients were re- ceived one-week symptomatic treatment. If the ureteral stones were not discharged spontaneously, the patients would be treated with extracorporeal shockwave lithotripsy （ESWL） or retrograde flexible ureteroscopic holmium laser lithotripsy. Result： Two cases had experienced spontaneous stone discharge. Three cases underwent ESWL, of which one case succeeded in spontaneous stone discharge after the procedure. The retrograde flexible uretero- scopic lithotripsy was carried out successfully in five cases. No compiications occurred after treatment of ureteral calculi. Conclusion： Managements of ureteral calculi after urinary diversion include short-term follow-up plan, ESWL and retrograde flexible ureteroscopic lithotripsy. The retrograde flexible ureteroscopic lithotripsy is safe and effective and may be regarded as one of satisfactory treatments for ureteral calculi after urinary diversion.
出处
《临床泌尿外科杂志》
2014年第4期327-329,共3页
Journal of Clinical Urology
基金
宁波市社会发展项目(编号201102C501)
关键词
输尿管结石
尿流改道
逆行输尿管软镜碎石
ureteral ealculus
urinary diversion
retrograde flexible ureteroscopic lithotripsy
