摘要
目的 介绍输尿管镜下处理输尿管结石并息肉的经验。 方法 １９９１ 年７ 月至１９９８年１１ 月，对１ ８４７ 例输尿管结石行２ ０５９ 例次输尿管镜检查及治疗，其中１０７ 例检查前曾先后行１ ～５次体外冲击波碎石（ＥＳＷＬ） 未获成功。 结果 １ ８４７ 例输尿管结石中并发息肉５５３ 例（２９ ．９ ％ ） ，其中４５０ 例在输尿管镜下处理成功（８１ ．４ ％ ） 。 结论 输尿管结石并息肉为常见病；输尿管结石嵌顿时间超过３ 个月，肾积水程度与结石大小不相符的患者不宜行ＥＳＷＬ；输尿管镜下行输尿管息肉切除及气压弹道碎石治疗效果满意。
Objective To present the experience of ureteroscopic management of ureteral stone complicated by polyp. Methods From Jul.1991 up to Nov.1998,ureteroscopy has been conducted for 2 059 patients among which 1 847 were suffered from ureteral stones.In 107 cases ESWL has been failed from once to 5 times.A total of 553 out of 1 847 (29.9%) were complicated by ureteral polyp. Results Ureteroscopic management has been successful for the ureteral stone and polyp in 450 (81.4%). Conclusions Ureteral stone complicated by polyp has been a common occurrence.In case the ureter has been blocked by a stone for 3 months and hydronephrosis was observed not in accordance with the size of the stone,ureteroscopic manipulation is indicated instead of ESWL.Transureteroscopic removal of the ureteral polyp and air pressure crushing of the ureteral stone would be optimal for the patients.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1999年第10期602-603,共2页
Chinese Journal of Urology
