南方医科大学学报

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (10): 1199-1200.

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输尿管镜下弹道碎石治疗结石梗阻性肾积脓

辛军1, 黄书堤2, 于立新3, 辛明华2, 蔡经爽2, 苏智军2   

  1. 1. 南方医科大学研究生队, 广东, 广州, 510515;
    2. 泉州市第一医院, 广东, 广州, 510515;
    3. 南方医科大学南方医院器官移植科, 广东, 广州, 510515
  • 出版日期:2004-10-20 发布日期:2004-10-20
  • 基金资助:
    收稿日期:2003-12-19。
    作者简介:辛军(1968- ),男,在读博士研究生,副主任医师,电话:0595-2662867,E-mail-junxin@pub2.qz.fj.cn

Pneumatic lithotripsy under ureteroscope for pyonephrosis due to calculus obstruction

XIN Jun1, HUANG Shu-di2, YU Li-xin3, XIN Ming-hua2, CAI Jing-shuang2, SU Zhi-jun2   

  1. 1. 南方医科大学研究生队, 广东, 广州, 510515;
    2. 泉州市第一医院, 广东, 广州, 510515;
    3. 南方医科大学南方医院器官移植科, 广东, 广州, 510515
  • Online:2004-10-20 Published:2004-10-20

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摘要： 目的 总结应用输尿管镜治疗结石梗阻性肾积脓的经验。方法 对输尿管结石梗阻性肾积脓患者行输尿管镜检查气压弹道碎石、取石及留置双J管治疗。结果 12例患者,10例1次取净结石,2例1~2周后经体外震波碎石治愈,无明显并发症。结论 应用输尿管镜治疗结石梗阻性肾积脓疗效好、创伤小、安全可靠,可作为该病的重要治疗方法。

Abstract: Objective To summarize the experiences of pneumatic lithotripsy under ureteroscope for pyonephrosis due to calculus obstruction.Methods Twelve patients with pyonephrosis due to calculus obstruction were treated using endoscopic manipulation such as ureteroscopy,pneumatic lithotripsy and indwelling double J catheter. Results In the 12 cases,the ureteral calculi were cleared after one treatment in 10 cases,and the other 2 cases were cured by additional extracorporeal shock-wave lithotomy performed 1 to 2 weeks later.Conclusion Ureteroscopic manipulation is safe,minimally invasive and effective for the treatment of pyonephrosis due to calculus obstruction.

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