同时存在的肾结石和输尿管结石的治疗：单次麻醉下联合体外冲击波碎石术和输尿管镜检查术

Management of simultaneous renal and ureteral calculi: combined extracorporeal shock wave lithotripsy and ureteroscopy under a single anesthetic.

作者信息

Jarowenko M V, Belis J A, Rohner T J

机构信息

Division of Urology, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey.

出版信息

J Urol. 1989 Nov;142(5):1186-8. doi: 10.1016/s0022-5347(17)39024-9.

DOI:10.1016/s0022-5347(17)39024-9

PMID:2810488

Abstract

Simultaneously occurring renal and ureteral calculi were treated in 28 renal units combining extracorporeal shock wave lithotripsy and ureteroscopy during a single anesthetic session. Distributions of ureteral calculi removed or attempted to be removed by ureteroscopy were upper third in 3, middle third in 4 and lower third in 21. If ureteroscopy was successful a ureteral stent was placed and extracorporeal shock wave lithotripsy was applied to more proximal renal and upper ureteral calculi. Of 28 renal units 25 (89%) were rendered free of stones or had passable calculi of less than 3 mm. in diameter after a single combined treatment. This combined approach appears to be safe, effective and efficient.

摘要

在单次麻醉过程中，采用体外冲击波碎石术和输尿管镜检查相结合的方法，对28个肾单位同时存在的肾和输尿管结石进行了治疗。通过输尿管镜取出或试图取出的输尿管结石分布情况为：上段3例，中段4例，下段21例。若输尿管镜检查成功，则放置输尿管支架，并对更靠近近端的肾和上段输尿管结石进行体外冲击波碎石术。28个肾单位中，25个（89%）在单次联合治疗后结石清除或残留结石直径小于3mm且可自行排出。这种联合治疗方法似乎安全、有效且高效。