Treatment of upper ureteral stones with spiral stone dislodger combined with pneumatic lithotriptor under ureteroscopy
- VernacularTitle:输尿管镜下套石网篮配合气压弹道碎石术治疗输尿管上段结石
- Author:
Hong HUANG
;
Meixia LIN
;
Hua TANG
;
Jian CHEN
;
Shiyong HUANG
- Publication Type:Journal Article
- Keywords:
Ureteral calculi;
Ureteroscopy;
Lithotripsy;
Spiral stone dislodger
- From:
Chinese Journal of Primary Medicine and Pharmacy
2005;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of spiral stone dislodger combined with pneumatic lithotriptor under ureteroscopy for managing upper ureteral stones. Methods 106 patients with upper ureteral stones with spiral stone dislodger combined with pneumatic lithotriptor under ureteroscopy were treated. The transverse diameter of the stones was 4～12mm and the vertical length 6～15mm. Results 87.7% (93/106) stones were fragmented for one session of treatment. 8 cases were pushed upward then undergoing extracorporeal shock wave lithotripsy(ESWL) after surgical operations. Operations in 5 cases had to be changed to open surgery,and ureteral perforations happened in 1 case. Conclusion Successful entrance of the uretersocop is a prerequisite for crushing the stone,appropriate fixation of the stone is the key to their crushing,spiral stone dislodger is an effective means of fixing ureteral stones.
