[硬性输尿管镜治疗输尿管结石。附67例报告]
[Treatment of ureteral calculi with rigid ureteroscopy. Report of 67 cases].
作者信息
Kasmaoui E H, Ghadouane M, Jira H, Alami M, Ouhbi Y, Abbar M
机构信息
Service d'urologie, hôpital militaire d'instruction Mohamed V, Rabat, Maroc.
出版信息
Ann Urol (Paris). 2001 Jul;35(4):207-9. doi: 10.1016/s0003-4401(01)00037-7.
PURPOSE
To evaluate the results obtained by rigid ureteroscopy to treat ureteral calculi.
MATERIALS AND METHODS
Between May 1998 and September 2000, 63 patients underwent 67 rigid ureteroscopies (URS) with three endoscopic retreatments and one bilateral URS, for 48 distal, ten mid and nine proximal ureteral calculi.
RESULTS
After URS 77.6% of the patients were free of the stones. Success rate was respectively 85.4%, 60% and 55.5% in distal, mid and proximal uretero. Morbidity was 10.4% and there have been one stricture treated by endoscopy.
CONCLUSION
Our series demonstrates that rigid URS is safe and effective procedure to treat distal, ureteral calculi. Thus, it should be considered a treatment of choice for distal ureteral calculi.
目的
评估硬性输尿管镜治疗输尿管结石的效果。
材料与方法
1998年5月至2000年9月期间，63例患者接受了67次硬性输尿管镜检查（URS），其中包括3次内镜下再次治疗和1次双侧URS，共治疗48例远端、10例中段和9例近端输尿管结石。
结果
URS术后，77.6%的患者结石清除。远端、中段和近端输尿管结石的成功率分别为85.4%、60%和55.5%。并发症发生率为10.4%，有1例狭窄通过内镜治疗。
结论
我们的系列研究表明，硬性URS是治疗远端输尿管结石的安全有效方法。因此，它应被视为远端输尿管结石的首选治疗方法。
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