输尿管阴性结石的静脉尿路造影定位体外碎石  

ESWL of ureteral negative stone under guidance of IVU.

作　　者：徐慧英[1] 王卫红[1] 

机构地区：[1]宁波市第一医院,浙江宁波315010

出　　处：《中国高等医学教育》2008年第7期113-114,共2页China Higher Medical Education

摘　　要：目的:探讨输尿管阴性结石经体外冲击波碎石(ESWL)治疗的定位方法。方法:对88例输尿管阴性结石患者,采用静脉尿路造影(IVU)辅助定位后行ESWL治疗,碎石前B超或CT检查证实结石存在。结果:本组病例经1-2次ESWL治疗后,结石完全排出,B超及IVU检查梗阻消失。结论:输尿管阴性结石因X线不显影,B超有时不能探及结石或因病人肥胖定位不准确,而IVU辅助定位行ESWL治疗,是治疗输尿管阴性结石的一种较好的方法。Objective： To evaluate the localization method of radiolucent ureteral calculus treated by extracorporeal shock-wave lithotripsy （ESWL）. Method： 88 patients with radiolucent ureteral calculus were localized by intravenous urography （IVU） and treated by ESWL The calculi were confirmed by B ultrasonography or CT before lithotripsy. Result ： All the calcali in the 88 patients were completely removed after treatment by 12 ESWL. B ultrasonography and IVU showed that the obstruction had been relieved. Conclusion： Because the radiolucent ureteral calculus can not be visualized by X-ray, can not be deceted by B ultrasonography occasionally, or can not be inaccurately localized for obesity, the radiolucent ureteral calculus is localized by intravenous urography （IVU） and treated by ESWL, which is a good selectable treatment method.

关 键 词：静脉尿路造影(IVU) 体外冲击波碎石(ESWL) 输尿管阴性结石 

分 类 号：G642.423[文化科学—高等教育学]