MINIMALLY INVASIVE THERAPY OF URETERAL CALCULI

被引：8

作者：

MARBERGER, M

HOFBAUER, J

TURK, C

ALBRECHT, W

机构：

[1] Department of Urology, the University Vienna Medical School, Vienna

[2] Rudolfstiftung Hospital, Vienna

来源：

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES | 1992年 / 1卷 / 02期

关键词：

URETERAL CALCULI; ESWL INSITU; URETEROSCOPY; ENDOUROLOGY; LASER LITHOTRIPSY;

D O I：

10.3109/13645709209152938

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

As documented with results obtained in 1685 patients the treatment of ureteric stones is today based on extracorporeal shock wave lithotripsy (ESWL) in situ and ureteroscopy with semirigid, ultrathin ureteroscopes and laser lithotripsy. All stones in the upper third of the ureter and larger stones in the distal third of the ureter are preferably treated with ESWL in situ whereas smaller stones in the distal ureter are better treated endoscopically. Mid-ureteric stones remain the domain of primary ureteroscopy; with moderate obstruction in the asymptomatic patient it may also be acceptable to wait for the stone to pass into the distal ureter spontaneously to be treated by ESWL in situ there. Manipulating stones back into the kidney and treating them by ESWL there (pushback/ESWL) offers no advantage over ESWL in situ, as the results are similar, yet morbidity is higher. 'Blind' instrumentation and open surgery have lost all justification.

引用

页码：159 / 167

页数：9

共 31 条

[1]

Drach G.W., Transurethral ureteral stone manipulation, Urol Clin N Am, 10, pp. 709-717, (1983)

[2]

Marberger M., Die endoskopische Behandlung des Uretersteines, Urologe A, 23, pp. 308-316, (1984)

[3]

Ueno T., Kawamura T., Ogawa A., Takayasu A., Relation of spontaneous passage of ureteric caculi to size, Urology, 10, pp. 544-549, (1977)

[4]

Bandhauer K., Therapie des Uretersteines, AM Urol, 1, pp. 42-48, (1970)

[5]

Leany A.L., Ryan P.C., Mc Eente G.M., Nilson A.C., Fitzpatrick J.M., Renal injury and recovery in partial ureteric obstruction, J Urol, 142, pp. 199-205, (1989)

[6]

Chaussy C., Schmiedt E., Jocham D., Brendel W., Forssman B., Walther V., First clinical experience with extracorporeally induced destruction of kidney stones by shock waves, J Urol, 127, pp. 417-420, (1982)

[7]

Muller S.C., Wilbert D., Thueroff J.W., Alken P., Extracorporeal shock wave lithotripsy of ureteral stones: clinical experience and experimental findings, J Urol, 135, pp. 831-834, (1985)

[8]

Schuldes H., Behrendt U., Roggenbruck R., Heider R., Nagel R., Der Hohe Harnleiterstein - Erfahrungen mit der ESWL bei 621 Patienten, Akt Urol, 18, pp. 185-186, (1987)

[9]

Lutz K., Rassweiler R., Gumpinger R., Eisenberger F., Der hohe Harnleiterstein - ESWL in situ. Therapie der Wahl, Akt Urol, 18, pp. 187-192, (1987)

[10]

Riehele R., Naslung E., Treatment of calculi in the upper ureter with extracorporeal shock wave lithotripsy, Surg Gyn Obst, 164, pp. 1-8, (1987)

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