远端输尿管结石的治疗选择。
Treatment options for distal ureteral stones.
作者信息
Boulier J A, Laguna P, Parra R P
机构信息
St. Louis University School of Medicine, Division of Urology, M. O., USA.
出版信息
Arch Esp Urol. 1997 Mar;50(2):208-13.
OBJECTIVE
To review the currently available treatment modalities for distal ureteral stones and outline our protocol for management.
METHODS
Current literature on each treatment modality, from expectant management to open ureterolithotomy, and special procedures were analyzed.
RESULTS
Our treatment protocol for distal ureteral stones is based mainly on the stone size. Distal ureteral stones that measure 5 mm or less are best managed initially by ureteroscopy. Stones greater than 5 mm are treated initially by ESWL, with a success rate of at least 80%.
CONCLUSION
The initial choice of treatment must be dictated by the practical concerns of available equipment, experience of the surgeon and cost of treatment. The trend is initial management by ESWL, although recent studies show better results in terms of cost for ureteroscopy.
目的
回顾目前可用的输尿管下段结石治疗方式，并概述我们的治疗方案。
方法
分析了从期待治疗到开放性输尿管取石术以及特殊手术等每种治疗方式的当前文献。
结果
我们针对输尿管下段结石的治疗方案主要基于结石大小。直径5毫米及以下的输尿管下段结石最初最好通过输尿管镜检查进行处理。大于5毫米的结石最初采用体外冲击波碎石术（ESWL）治疗，成功率至少为80%。
结论
治疗的初始选择必须由可用设备、外科医生的经验和治疗成本等实际问题决定。尽管最近的研究表明输尿管镜检查在成本方面效果更好，但目前的趋势是最初采用ESWL进行治疗。
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