Baldwin D D, Beaghler M A, Ruckle H C, Poon M W, Juriansz G J
Division of Urology, Loma Linda University School of Medicine, California, USA.
Tech Urol. 1998 Jun;4(2):92-8.
Renal calculi that reside in caliceal diverticula are difficult to treat. Numerous treatment modalities have been used, including extracorporeal shock wave lithotripsy, laparoscopy, and percutaneous treatment. All therapies directed at fragmenting the stones are limited by the ability of these fragments to pass through the narrow diverticular neck. More recently, the retrograde approach using small-caliber flexible ureteroscopes has been applied successfully in the treatment of diverticular calculi. A description of our retrograde technique is presented. The ultimate success of this technique is dependent upon familiarity with the basic principles of ureteroscopy and successful clearance of stone fragments from the diverticulum.
位于肾盏憩室内的肾结石难以治疗。已采用了多种治疗方式，包括体外冲击波碎石术、腹腔镜检查和经皮治疗。所有旨在破碎结石的疗法都受到这些碎片通过狭窄憩室颈部能力的限制。最近，使用小口径软性输尿管镜的逆行方法已成功应用于憩室结石的治疗。本文介绍了我们的逆行技术。该技术的最终成功取决于对输尿管镜检查基本原则的熟悉程度以及从憩室中成功清除结石碎片。
