篇名 | Percutaneous Antegrade Rigid Nephroscopic Extraction of Upper Ureteral Stiones |
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卷期 | 7:4 |
並列篇名 | 以硬腎鏡順行經皮腎造廔摘除上段輸尿管結石 |
作者 | 何澤文 、 張世忠 、 許悌 、 郭漢崇 |
頁次 | 200-204 |
關鍵字 | 輸尿管結石 、 經皮腎造廔 、 碎石術 、 ureteral calculi 、 percutaneous nephrostomy 、 lithotripsy 、 TSCI |
出刊日期 | 199612 |
一般治療上段輸尿管結石之方式包括輸尿管鏡手術、體外震波碎石術及輸尿管截石術,但對一些嵌塞或巨大之結石,或有嚴重腎水腫之病人,可使用硬腎鏡經皮腎造廔作為治療的方法。本文嘗試以硬腎鏡經皮腎造廔方式治療七位上段輸尿管結石之病人。平均手術時間為87分鐘,平均住院日為6.8日,這種手術方式能提供比傳統開腹手術治療更好的效果。
Treatment of upper ureteric stones can be accomplished by transurethral retrograde ureteroscopic stone extraction, extracorporeal shock wave lithotripsy or by conventional open ureterolithotomy. Percutaneous antegrade rigid nephroscopic treatment of upper ureteral stones provides an alternative especially suitable for laege stones, severe hydronephrosis or impacted stones. Percutaneous antegrade rigid nephroscopic treatment of upper ureteral stones was used here for seven patients. The average operating time was 87 minutes, and the mean hospitalization was 6.8 days. All seven patients were stone free and there were no perioperative or postoperative complications. This method represents a significant advance over standard open surgical procedures for the removal of upper ureteral stones.