Vallejo S, Montenegro C, Gilbert O, Hidalgo R, Guevara G, Sempértegui M
Instituto Médico de Urología, Quito, Ecuador.
Actas Urol Esp. 1996 Apr;20(4):372-5.
Exposition of the experience accrued over 8 years in endo-urological procedures performed to 303 patients divided in 2 groups: Lithiasic (Group I) and Non-lithiasic (Group II) patients. Ninety-two (92) percutaneous nephrostomies in 69 patients and 235 ureteroscopies in 234 patients were accomplished, removing 324 calculi and resolving other obstructive conditions. The rate of success was 85% and 98% for the percutaneous nephrostomies and ureteroscopies, respectively. Complications were reported in 7 patients after percutaneous nephrostomy and in 14 patients during ureteroscopy. Most of these complications resolved with the use of endoscopic techniques except in two patients who required open surgery. There were no deaths in the present series. The advantages of applying this technique over the conventional one are discussed.
阐述了对303例患者进行8年内科泌尿外科手术积累的经验，这些患者分为两组：结石患者（第一组）和非结石患者（第二组）。对69例患者进行了92次经皮肾造瘘术，对234例患者进行了235次输尿管镜检查，取出324颗结石并解决了其他梗阻性疾病。经皮肾造瘘术和输尿管镜检查的成功率分别为85%和98%。经皮肾造瘘术后7例患者和输尿管镜检查期间14例患者报告了并发症。除两名需要开放手术的患者外，大多数这些并发症通过内镜技术得到解决。本系列中无死亡病例。讨论了应用该技术相对于传统技术的优势。
