经皮处理大容量新膀胱结石后结石碎片清除的新方法。
Novel technique for fragment removal after percutaneous management of large-volume neobladder calculi.
机构信息
Department of Urology, New York University, New York, NY, USA.
出版信息
Urology. 2012 Aug;80(2):474-6. doi: 10.1016/j.urology.2012.05.009.
OBJECTIVE
To describe a novel method for fragment evacuation after percutaneous lithotripsy of neobladder calculi.
METHODS
The technique was developed using a Urovac bladder evacuator, which was attached to a standard 30F Amplatz working sheath.
RESULTS
The attachment of the Urovac evacuator to the Amplatz sheath rapidly evacuated large quantities of stone material. Careful attention should be paid to maintaining low-pressure irrigation by ensuring the bladder is not overly full and the Urovac device is not vigorously manipulated, to minimize the likelihood of bladder injury.
CONCLUSION
Percutaneous ultrasonic/hydraulic lithotripsy for large-volume neobladder calculi often results in a substantial burden of stone fragments that can be difficult to clear using standard techniques. Attaching a Urovac bladder evacuator to the 30F Amplatz sheath can simplify the management of this task.
目的
描述一种经皮碎石术治疗新膀胱结石后碎石清除的新方法。
方法
该技术使用 Urovac 膀胱抽吸器和标准的 30F Amplatz 工作鞘开发。
结果
Urovac 抽吸器与 Amplatz 鞘的连接可迅速清除大量结石。应注意保持低压冲洗，确保膀胱不过度充盈，Urovac 装置操作不剧烈，以最大程度地降低膀胱损伤的可能性。
结论
经皮超声/液压碎石术治疗大容量新膀胱结石往往会产生大量结石碎片，使用标准技术难以清除。将 Urovac 膀胱抽吸器连接到 30F Amplatz 鞘上可以简化这项任务的管理。
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