Desgrez J P, Cabane H, Claude J M, Verges J
Ann Urol (Paris). 1986;20(6):405-9.
The authors obtained 82% good results by using rigid ureteroscopy to treat a total of 55 calculi in a series of 51 patients and they propose the following therapeutic approach: calculi in the lumbar ureter are frequently difficult to reach (54% failures). There is no harm in gently trying to remove the stone by ureteroscopy which, in the event of failure, can be followed by percutaneous surgery or posterolumbar incision. Rigid ureteroscopy is easier and more reliable in the case of calculi in the iliac or pelvic ureter (7% failures) and the indications can be extended.
作者采用硬性输尿管镜治疗51例患者共55块结石，取得了82%的良好效果，并提出了以下治疗方法：腰部输尿管结石往往难以触及（失败率54%）。通过输尿管镜轻柔尝试取石并无坏处，若取石失败，可继而采用经皮手术或后腰部切开术。对于髂部或盆腔输尿管结石，硬性输尿管镜操作更简便且更可靠（失败率7%），其适应证可扩大。
