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经皮输尿管结石取出术:临床及实验结果

Percutaneous removal of ureteral calculi: clinical and experimental results.

作者信息

Hunter D W, Castaneda-Zuniga W R, Young A T, Cardella J, Lund G, Rysavy J A, Hulbert J, Lange P, Reedy P, Amplatz K

出版信息

Radiology. 1985 Aug;156(2):341-8. doi: 10.1148/radiology.156.2.4011895.

DOI:10.1148/radiology.156.2.4011895
PMID:4011895
Abstract

Between May 1983 and October 1984, 51 patients who had 68 ureteral stones underwent treatment at the University of Minnesota. All 68 stones were removed successfully using percutaneous techniques. The 100% success rate is a great improvement over previous results at our institution. The primary factors appear to be the development of the retrograde-flush technique, familiarity with and access to a wider range of methods, and the increasing use of the retrograde ureterorenoscope to see stones in the lower ureter. The average patient was a 45-year-old man who had no other medical problems. The average hospital stay was 6.8 days. Experimental studies with dogs indicate that injection rates of up to 30 ml/sec of contrast material through a retrograde catheter in the ureter are safe if a vent is present in the upper collecting system.

摘要

1983年5月至1984年10月期间,明尼苏达大学对51例患有68颗输尿管结石的患者进行了治疗。所有68颗结石均通过经皮技术成功取出。100%的成功率相较于我们机构之前的结果有了很大的提高。主要因素似乎包括逆行冲洗技术的发展、对更广泛方法的熟悉和应用,以及越来越多地使用逆行输尿管肾镜来观察下段输尿管的结石。患者平均年龄为45岁男性,无其他医疗问题。平均住院时间为6.8天。对狗的实验研究表明,如果上尿路集合系统有排气孔,通过输尿管逆行导管以高达30毫升/秒的速率注射造影剂是安全的。

相似文献

1
Percutaneous removal of ureteral calculi: clinical and experimental results.经皮输尿管结石取出术:临床及实验结果
Radiology. 1985 Aug;156(2):341-8. doi: 10.1148/radiology.156.2.4011895.
2
[Transurethral ureteroscopic removal of ureteral calculi].经尿道输尿管镜取石术
Hinyokika Kiyo. 1986 Apr;32(4):533-9.
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Electrohydraulic ureterolithotripsy. An experimental study.电液压输尿管结石粉碎术。一项实验研究。
Invest Urol. 1980 May;17(6):462-4.
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[Non-operative treatment of ureteral calculi using ureterorenoscopy].[输尿管镜下输尿管结石的非手术治疗]
Fortschr Med. 1984 Sep 27;102(36):895-9.
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Rapid, economical treatment of large impacted calculi in the proximal ureter with ballistic ureteral lithotripsy and occlusive, percutaneous balloon catheter: the high pressure irrigation technique.应用弹道输尿管碎石术和闭塞性经皮气囊导管对近端输尿管大的嵌顿结石进行快速、经济的治疗:高压冲洗技术
J Urol. 2007 Sep;178(3 Pt 1):929-33; discussion 933-4. doi: 10.1016/j.juro.2007.05.037. Epub 2007 Jul 16.
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The CO2 flush: a new technique for percutaneous extraction of ureteral calculi.二氧化碳冲洗:经皮输尿管结石取出新技术。
Radiology. 1985 Mar;154(3):828. doi: 10.1148/radiology.154.3.3918334.
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[Experience in using a ureterorenoscope in 14 cases].[14例输尿管肾镜使用经验]
Hinyokika Kiyo. 1985 Jul;31(7):1123-30.
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Electrohydraulic lithotripsy of ureteral calculi: the Stony Brook experience.输尿管结石的液电碎石术:石溪分校的经验
J Lithotr Stone Dis. 1990 Jan;2(1):35-8.
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[Operative fiberoptic nephroureteroscope--removal of renal and upper ureteral stones].[手术用纤维光学肾输尿管镜——肾及输尿管上段结石的取出术]
Hinyokika Kiyo. 1987 Jun;33(6):827-31.
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[Ureteroscopy. Our results and complications].[输尿管镜检查。我们的结果与并发症]
Arch Esp Urol. 1993 Jun;46(5):405-9.

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1
Percutaneous antegrade extrusion of ureteral calculi.经皮顺行输尿管结石挤压术
CMAJ. 1987 May 1;136(9):957-9.