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[膀胱重建术后回肠膀胱内尿石症的体外冲击波碎石术]

[Extracorporeal shock wave lithotripsy for urinary calculi in an ileal reservoir following reconstruction of the urinary bladder].

作者信息

Matsuzaki J, Chiba K, Iwasaki A, Ishizuka E, Taguchi H

机构信息

Department of Urology, Yokohama Red Cross Hospital.

出版信息

Nihon Hinyokika Gakkai Zasshi. 1995 Apr;86(4):953-6. doi: 10.5980/jpnjurol1989.86.953.

DOI:10.5980/jpnjurol1989.86.953
PMID:7776566
Abstract

A new method for reconstruction of the urinary bladder was introduced by Taguchi in 1977. It consisted of two components; making of pseudo-urethra and the reconstruction of urinary reservoir in the pelvis. The latter was made of the ileum and the peritoneum with temporary use of Japanese paper. This operative method was applied to a 28-year-old female patient when she had cystectomy and bilateral ureterostomy. Thereafter she had has no trouble for 13 years. However, her recent rentogenogram showed urinary tract calculi in the reservoir. Endoscopic treatment was not indicated because of the deformed reservoir and the inflexible pseudourethra. Thus, extracorporeal shock wave lithotripsy (ESWL) was applied to the case with successful results. We herrin reported the case and discussed the usefulness of ESWL for urinali calculi in the ileal reservoir.

摘要

1977年,田口介绍了一种新的膀胱重建方法。它由两个部分组成:制作假尿道和在盆腔重建尿液储存器。后者由回肠和腹膜制成,临时使用日本纸。该手术方法应用于一名28岁的女性患者,当时她接受了膀胱切除术和双侧输尿管造口术。此后她13年都没有问题。然而,她最近的X线照片显示储存器中有尿路结石。由于储存器变形和假尿道僵硬,不适合进行内镜治疗。因此,对该病例应用了体外冲击波碎石术(ESWL),结果成功。我们在此报告该病例,并讨论ESWL对回肠储存器中尿结石的有效性。

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