Begun F P, Jacobs S C, Lawson R K
Department of Urology, Medical College of Wisconsin, Milwaukee.
J Urol. 1988 Jun;139(6):1188-91. doi: 10.1016/s0022-5347(17)42855-2.
A 3F electrohydraulic electrode was used with flexible ureteroscopy to treat upper urinary tract calculi in 18 patients. Of 21 procedures performed 10 involved retrograde passage of the ureteroscope and 11 consisted of antegrade procedures with percutaneous nephrostomy access. Complete fragmentation was achieved in 19 of the 21 procedures. In 1 patient bilateral renal caliceal diverticular calculi were treated with the electrohydraulic electrode used to open initially the diverticular orifice. Minor complications included retained stone fragments and small ureteral perforations. No serious complications resulted from the lithotripsy and no patient required an open operation. Flexible ureteroscopy, retrograde or antegrade, appears to offer access to upper tract stones not treated reliably with rigid ureteroscopy. Electrohydraulic lithotripsy with this small 3F probe appears to be a safe and effective means to treat upper urinary tract stones.
采用3F电液压电极配合软性输尿管镜治疗18例上尿路结石患者。在实施的21例手术中，10例为输尿管镜逆行操作，11例为经皮肾造瘘顺行操作。21例手术中有19例结石完全碎裂。1例双侧肾盏憩室结石患者，使用电液压电极先打开憩室口进行治疗。轻微并发症包括残留结石碎片和小的输尿管穿孔。碎石术未导致严重并发症，且无一例患者需要开放手术。软性输尿管镜逆行或顺行操作似乎能够处理硬性输尿管镜无法可靠治疗的上尿路结石。使用这种3F小型探头进行电液压碎石术似乎是治疗上尿路结石的一种安全有效的方法。
