摘要
目的:探讨体外冲击波碎石术(ESWL)治疗23例原位输尿管结石失败原因。方法:分析总结ESWL治疗23例失败的临床资料。结果:23例输尿管结石患者均再行输尿管切开取石术或腔镜下输尿管切开取石术,均治愈。术中证实结石嵌顿且与输尿管壁严重粘连6例,输尿管炎性息肉形成7例,输尿管炎性狭窄1例,肉芽组织包裹4例。结论:ESWL治疗输尿管结石疗效可靠,但要正确掌握好适应证。若病程长,肾积水严重,患肾功能差或结石结构致密,且面积大,则不宜选择ESWL治疗。
Objective:To analyse the cause 23 cases of ureteral calculi after failure of ESWL.Methods: Analysis was made on 16 cases of ureteral calculi after with ESWL.Results: Ureterolithotomy or laparoscopic ureterolithotomy was made in 23 cases.Ureterolithotomy and laparoscopic ureterolithotomy revealed that stuck to the sueface of ureteral mucosa and adhesive ureterostnosis in 6,inflammatory uerteral polyp in 7,inflammatory straitness in 1,encapsulation of the calculi by granulation tissue in 4.Conclusions:ESWL is a good way to treat ureteral calculi for its dependability,but it only can be used in indication.If the calculi is incarcerated at the same spot for a long time,the kidney was filled with water,the sick kidney's function was poor or the stone's dimension was big and the structure was tight,ESWL should be contraindicated.
出处
《内蒙古医学杂志》
2007年第11期1320-1321,共2页
Inner Mongolia Medical Journal
关键词
输尿管结石
体外冲击波碎石术
Ureteral calculi
Extracoporeal shock wave lithotripay
