INSITU LITHOTRIPSY OF URETERAL CALCULI - REVIEW OF 261 CASES

被引:22
作者
BARR, JD
TEGTMEYER, CJ
JENKINS, AD
机构
[1] UNIV VIRGINIA,HLTH SCI CTR,DEPT RADIOL,CHARLOTTESVILLE,VA 22908
[2] UNIV VIRGINIA,HLTH SCI CTR,DEPT UROL,CHARLOTTESVILLE,VA 22908
关键词
lithotripsy; ureter; calculi; 82.81; interventional procedure; 82.1299;
D O I
10.1148/radiology.174.1.2294534
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The authors report 261 cases of single ureteral calculi treated with in situ lithotripsy after retrograde manipulations had failed. Previous reports have indicated that extracorporeal lithotripsy of impacted ureteral calculi has not been highly successful. Two hundred five of the calculi were located in the proximal ureter, above the sacroiliac joint; 27 were in the presacral ureter, overlying the bony pelvis; and 29 were in the juxtavesicular ureter, below the inferior border of the sacroiliac joint. Retrograde ureteral catheters were in place during lithotripsy for 215 calculi. Two hundred fifty-four (97%) calculi were successfully treated with lithotripsy and, when necessary, with additional postlithotripsy radiologic and urologic interventions. Seven (3%) calculi were not successfully fragmented. Nephrostomy was performed in 13 (5%) patients. Retrograde ureteral catheters were not found to enhance calculus fragmentation. In situ lithotripsy of ureteral calculi has been shown to be feasible as an alternative to ureterolithotomy when retrograde manipulation has failed.
引用
收藏
页码:103 / 108
页数:6
相关论文
共 20 条
[1]   EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY (ESWL) FOR TREATMENT OF UROLITHIASIS [J].
CHAUSSY, C ;
SCHMIEDT, E ;
JOCHAM, D ;
SCHULLER, J ;
BRANDL, H ;
LIEDL, B .
UROLOGY, 1984, 23 :59-66
[2]  
CHAUSSY C, 1980, LANCET, V2, P1265
[3]   EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY (ESWL) FOR KIDNEY-STONES - AN ALTERNATIVE TO SURGERY [J].
CHAUSSY, C ;
SCHMIEDT, E .
UROLOGIC RADIOLOGY, 1984, 6 (02) :80-87
[4]   1ST CLINICAL-EXPERIENCE WITH EXTRACORPOREALLY INDUCED DESTRUCTION OF KIDNEY-STONES BY SHOCK-WAVES [J].
CHAUSSY, C ;
SCHMIEDT, E ;
JOCHAM, D ;
BRENDEL, W ;
FORSSMANN, B ;
WALTHER, V .
JOURNAL OF UROLOGY, 1982, 127 (03) :417-420
[5]  
Chaussy C, 1982, EXTRACORPOREAL SHOCK
[6]  
CHAUSSY CH, 1983, STONES CLIN MANAGEME, P461
[7]   EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY - CLINICAL-RESULTS [J].
COCHRAN, ST .
UROLOGIC RADIOLOGY, 1988, 10 (01) :46-47
[8]  
COLEMAN AJ, 1987, LITHOTRIPSY, V2, P121
[9]   REPORT OF THE UNITED-STATES COOPERATIVE STUDY OF EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY [J].
DRACH, GW ;
DRETLER, S ;
FAIR, W ;
FINLAYSON, B ;
GILLENWATER, J ;
GRIFFITH, D ;
LINGEMAN, J ;
NEWMAN, D .
JOURNAL OF UROLOGY, 1986, 135 (06) :1127-1133
[10]   AN ALGORITHM FOR THE MANAGEMENT OF URETERAL CALCULI [J].
DRETLER, SP ;
KEATING, MA ;
RILEY, J .
JOURNAL OF UROLOGY, 1986, 136 (06) :1190-1193