Troy R B, Streem S B, Zelch M G
Department of Urology, Cleveland Clinic Foundation, OH.
J Endourol. 1994 Feb;8(1):43-7. doi: 10.1089/end.1994.8.43.
Although percutaneous management of calculi has become less frequent, the techniques developed for that purpose are being used to manage patients with more complex upper tract problems. Percutaneous techniques analogous to those used for stone disease were applied in four patients with upper tract foreign bodies (silk suture, balloon catheter or stent fragments) inaccessible to definitive ureteroscopic management. Three patients had associated calculi. In each case, the intraoperative course was uneventful, the postoperative stay was only 4 to 5 days, and the result was an uninfected, unobstructed renal unit. Percutaneous techniques can be successful in the management of the increasingly frequent problem of upper tract foreign bodies and will often represent the treatment of choice.
尽管经皮处理结石的情况已不那么常见，但为此目的开发的技术正被用于治疗患有更复杂上尿路问题的患者。四名上尿路有异物（丝线缝合线、球囊导管或支架碎片）且无法通过确定性输尿管镜处理的患者，采用了类似于用于结石病的经皮技术。三名患者伴有结石。在每种情况下，术中过程均顺利，术后住院时间仅为4至5天，结果是肾单位未感染且无梗阻。经皮技术在处理日益常见的上尿路异物问题方面可能会取得成功，并且往往是首选的治疗方法。
