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題 名 | Antegrade Ureterorenoscopic Manipulation of Upper Ureteral Stones=順行輸尿管腎臟鏡手術於上段輸尿管結石的應用 |
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作 者 | 葉進仲; 張萬森; 陳汶吉; 張士三; 楊慶鏘; 吳錫金; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷 期 | 9:3 1998.09[民87.09] |
頁 次 | 頁126-131 |
分類號 | 416.274 |
關鍵詞 | 輸尿管鏡碎石術; 體外震波碎石術; 經皮腎造瘻碎石術; 後腹腔鏡輸尿管截石術; 輸尿管截石術; URSL; ESWL; Antegrade ureterorenoscopic manipulation; Ureterolithotomy; Retroperitoneoscopic ureterolithotomy; |
語 文 | 英文(English) |
中文摘要 | 本文研究順行輸尿管腎臟鏡手術於上段輸尿管結石所佔的角色及其成功機率。取 材自最近三十二個月[1995,1月至1997,7月]因上段輸尿管結石而接受順行輸尿管腎臟鏡手術 的病例。手術進行方法分為由泌尿科醫師或放射科醫師進行造口二種方法。結果有十四例於 一次單一手術清除結石,有二例需要輸尿管鏡把石頭推回腎臟,另一例雖然有輸尿管鏡幫忙, 還是失敗,最後進行輸尿管截石術。成功率為百分之九十三點五。結論為順行輸尿管腎臟鏡 手術於上段輸尿管結石的處理有高的成功率。尤其是無法進行體外震波或是失敗病例,以及 逆行輸尿管腎臟鏡碎石術失敗的病例適用,可避免不必要的截石術。 |
英文摘要 | The purpose of this study was to evaluate the role and success rate of antegrade ureterorenoscopic manipulation on upper ureteral stones. For this study, several conditions of upper ureteral stones, with a total of 17 stones, were chosen within the most recent 32 mon. Patients inchuded those whose bodies were inappropriate to accept extracoporeal shock wave lithotripsy (ESWL), for example, those with coupling failure; patients who had been accepted for ESWL or ureterorenoscopic lithotripsy (URSL), but whose treatment failed; patients whose upper ureteral stones were too large to undergo ESWL or URSL; and also patients who were chosen by surgeons to accept antergrade ureterorenoscopinc manipulation Fourteen upper ureteral stones accepted the antegrade ureterorenoscopic manipulation. Access was created in the operating room by urologisis. The stones were also extracted at the same time. There upper ureteral stones accepted antegrade ureterorenoscopic manipulation, when access was created by radiologists. The next morning the stones were extracted in the operating room by the urologists. The obstructing stones in each of the 14 cases of upper ureteral stones were removed in a single procedure. Two other cases of upper ureteral stones following URS push back had successful antegrade ureteroreenoscopic manipulation. One upper ureteral stone failed to accept the antegrade ureterorenoscopic manipulation and the ureterorenoscopy (URS) push back. Finally this patient accepted ureterolithotomy. In general, the success rate was 93.5%. Antegrade ureterorenoscopic manipulation of upper ureteral stones is safe and effective with a high success rate. This procedure can be selected for patients who have upper ureteral stones failing to accept ESWL or URSL Using this procedure can avoid more invasive procedures, such as lithotomy. |
本系統中英文摘要資訊取自各篇刊載內容。