查詢結果分析
來源資料
頁籤選單縮合
題 名 | Smaller Caliber Rigid Ureteroscopy--Clinical Experience with 214 Cases=細輸尿管鏡術:214例之臨床應用經驗 |
---|---|
作 者 | 劉中興; 劉善居; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 29:2 民85.03-04 |
頁 次 | 頁102-106 |
分類號 | 416.274 |
關鍵詞 | 細輸尿管鏡術; Ureteroscopy; Ureteral stone; Lithotripsy; |
語 文 | 英文(English) |
中文摘要 | 本文統計分析自I992年3月至I994年I2月共2I7次細驗尿管鏡手術,在海軍 總舀院泌尿外科的應用情形。使用情形包括結石處理、異物拔除、病灶診斷及輟 尿管狹窄之治療。我們使用的輸尿管鏡有三種,管徑分別為6、7、5及8F,視情 況選擇單一或交替應用。 驗尿管結石治療成功率,千三分之段為94.7(I33次中I26次成功),上三分之二段為 88.5(6]次有54次成功)。在I94次結石治療中。主要併發症之發生率為0.5(僅一例 發生輸尿管壁細小穿孔),其餘的併發症之發生率為8.7(術後發燒超過38.5℃,5例; 術後血尿,7例;術後腎絞痛,5例)。在平均手術時間方面,下段輸尿管為33.3分 鐘,上三分之二段輸尿管為50.5分鐘。做為診斷工具時,其操作成功率為95.7(23 例中22例成功),平均手術時間為21.6分鐘,而且無任何併發症。 我們的結果顯示硬式細輸尿管鏡術。無論在治療或診斷的應用上均為一安全、有 效且省時的手術。 |
英文摘要 | A retrospective analysis of 214 patients who underwent 217 transurethralureteroscopic procedures using smaller caliber rigid ureteroscopes for ureteral stone management or diagnostic procedure is reported. Three typesof rigid ureterorenoscopes with diameters of 6.0F, 7.5F and 8.0F, respectively, were used. The over-all success rate of stone removal in the lowerthird ureter was 94.7 (126 of 133) and for upper and middle third, was 88.5 (54 of 61). The major complication rate in all 194 stone manipulationswas 0.5 (1 small hole ureteral perforation); the minor complication ratewas 8.7 (5, fever >38.5℃; 7, hematuria; 5, colic pain for more than oneday). The mean operation time of lower third ureter lithotripsy was 33.3minutes; for the upper and middle third it was 50.5 minutes. As a diagnosticprocedure, the success rate was 95.7 (22 of 23); the mean operation timewas 21.6 minutes, and there was no major complication. Results showedthat smaller caliber rigid ureteroscopy was an effective, safe and timesaving procedure for both therapeutic and diagnostic applications. |
本系統中英文摘要資訊取自各篇刊載內容。