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[输尿管镜检查的并发症及局限性]

[Complications and limitations of ureteroscopy].

作者信息

Valente R, Martino F, Manganini G

机构信息

Divisione di Urologia, Ospedale M. Mellini, Chiari.

出版信息

Arch Ital Urol Nefrol Androl. 1990 Dec;62(4):411-7.

PMID:2150233
Abstract

From 1985 to January 1990 a series of 298 patients with calculi of the ureter at various level were treated by ureteroscopy (lumbar 179; iliac 11; pelvic 108). We always performed the ureteral dilatation. After treatment all patients were-controlled with urography and, in particularly case (more than one ureteroscopy in same patient, complex stone) underwent also to TAC, RMN and cystography. The success rate for ureteroscopic removal calculi was 94%. We compared the complications rete between ureteroscopy and open surgical lithotomy: they were significantly less for ureteroscopic stone removal than ureterolithotomy. Ureteroscopy should be considered the method of choice in the management of ureteric calculi.

摘要

1985年至1990年1月,采用输尿管镜检查治疗了一系列298例不同部位输尿管结石患者(腰部179例;髂部11例;盆腔108例)。我们始终进行输尿管扩张。治疗后,所有患者均接受尿路造影检查,特别是在同一患者进行多次输尿管镜检查、结石复杂的情况下,还接受了CT、核磁共振成像和膀胱造影检查。输尿管镜取石成功率为94%。我们比较了输尿管镜检查与开放性手术取石的并发症发生率:输尿管镜取石的并发症明显少于输尿管切开取石术。输尿管镜检查应被视为输尿管结石治疗的首选方法。

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