球囊导管扩张术在ESWL治疗输尿管结石中的选择性应用  

作　　者：陈理进[1] 

机构地区：[1]浙江省丽水市中心医院,323000

出　　处：《浙江临床医学》2007年第3期313-314,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨输尿管粘连性结石的治疗方法。方法选择已行体外冲击波碎石(ESWL)治疗1～3次无效的输尿管中段结石24例,应用X线介入法,逆行插入波士顿5F8mm×4cm球囊导管至结石远端,球囊扩张阻断尿流,经导管注入稀释的显影剂,缓慢膨胀结石远端及周围输尿管,尽可能地撑开输尿管壁与结石的粘连,然后应用体外冲击波碎石。结果18例粘连性结石经球囊导管扩张后剥离粘连,结合体外冲击波碎石1～2次后粉碎排净,并发症轻微,只有血尿1～2d,自行消失。6例失败改切开取石。结论对于病史较短的输尿管粘连性取石,行球囊导管扩张术结合EWSL治疗,可取得满意疗效。Objective To explore the treatment of adhesive ureteral calculus. Methods 24 cases with mid - upper ureteral calculus were included , all of them had been treated with ESWL 1 to 3 times, but failed. Under the X - ray monitoring, the Boston 5 - f8 mm4cm Foley＇ s tube was insert to the stone conversely, the saeeulus was dilated to block the urine flow, infuse diluted compond meghmine diatrzzoate was injected through the tube, dilating the room between the stone and uretex slowly, the adhesion between ureter wall and stone was then separated , then KSWLL was applied . Results The stone was completely expelled in 18 eases with slight complications （hematuria 1 - 2 days） after 1 - 2 raore times ESWL ,6 eases failed and went to ureterolithotomy. Conclusion Foley＇s tube diatation with ESWL in treating adhesive ureteral calculus with relatively short history are effective.

关 键 词：输尿管结石 球囊导管扩张术 体外冲击波碎石 输尿管粘连性结石 

分 类 号：R693.4[医药卫生—泌尿科学]