输尿管结石治疗方法的变迁
Vicissitude of management of ureteral stones.
作者信息
Guo Y L, Gu F L, Zhang J L, Wu C P
机构信息
Institute of Urology, Beijing Medical University.
出版信息
Chin Med J (Engl). 1990 Feb;103(2):131-3.
Following the use of rigid ureteroscopic lithotripsy (URS) in 1984 and extracorporeal shock wave lithotripsy (ESWL) in 1987, the treatment for ureteral stones has undergone significant changes. Our experience showed that the successful rate of URS for 132 patients was 89.4% and for the upper third was rather low, percutaneous antegrade URS should be considered. 376 patients treated with ESWL in prone position with a successful rate of 96.8%. The applicability of open surgery was reduced to 17.8% in 1987 and 14.5% in 1988.
1984年采用硬性输尿管镜碎石术（URS）以及1987年采用体外冲击波碎石术（ESWL）之后，输尿管结石的治疗发生了重大变化。我们的经验表明，132例患者接受URS的成功率为89.4%，而输尿管上段结石的成功率较低，应考虑采用经皮顺行URS。376例患者采用俯卧位ESWL治疗，成功率为96.8%。开放手术的适用率在1987年降至17.8%，在1988年降至14.5%。
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