经尿道输尿管镜和微造瘘经皮肾镜治疗输尿管嵌顿结石  

Management of Ureteral Calculi with Transurethral Ureteroscope Lithotriosy and Mini - Percutaneous Nephrolithotomy

作　　者：伍信阳[1] 周兴[1] 曾格瓦[1] 何兆伟[1] 邓振农[1] 陈志光[1] 

机构地区：[1]广州医学院第二附属医院泌尿外科,广东510260

出　　处：《国际泌尿系统杂志》2007年第4期433-435,共3页International Journal of Urology and Nephrology

摘　　要：目的总结采用经尿道输尿管镜碎石术（URL）和微造瘘经皮肾穿刺取石术（MPCNL）治疗嵌顿性输尿管结石的经验。方法采用输尿管镜观察72例输尿管结石嵌顿情况，并给予及时处理。结果URL和MPCNL处理成功70例，成功率97.7%，并发输尿管息肉40例，输尿管狭窄5例，均同期处理。5例结石被冲入肾盂内行体外冲击波碎石（ESWL）治疗。10例输尿管上段嵌顿结石行微造瘘经皮肾穿刺取石术（MPCNL）。结论输尿管结石嵌顿因素主要为输尿管息肉、狭窄或结石不规则。采用URL和MPCNL技术处理嵌顿结石疗效满意，安全性高，侵袭性小，是处理输尿管嵌顿结石的一种好方法。Objectives To share the experience on transurethral ureterescope lithotripsy（URL） and mini - percutaneous nephrolithotomy（MPCNL） for impacted ureteral calculi. Methods To manage 72 cases of impacted ureteral calculi with URL and MPCNL. Results 70 cases impacted ureteral calculi were successfully treated . 40 cases of ureter polyp and 5 cases coexisted with ureter stricture were treated successfully at the same time. 5 cases by ESWL afterwards for stones moved up to kidneys. 10 cases by MPCNL. Conclusions Impacted ureteral calculi are usually accompanied with some obstructive factors such as ureteral striture , polyp and anonnal stones. URL and MPCNL are of safe and mini - invasive procedure with satisfied effects on the management of impacted ureteral calculi at present.

关 键 词：输尿管结石 尿道 输尿管镜检 

分 类 号：R699[医药卫生—泌尿科学]