Title

Ureterorenoscopic Stone Manipulation Of Ureteral Calculi

Translated Titles

輸尿管結石的輸尿管鏡處理

DOI

10.7024/JUAROC.199109.0536

Authors

王中敬(Chung-Jing Wang);謝德生(Teh-Sheng Hsieh);陳淳(Jun Chen);丘祖毅(Tsu-Yih Chiu);許德金(Te-Chin Hsu)

Key Words

ureterorenoscope ; ESWL ; ureteral calculi

PublicationName

中華民國泌尿科醫學會雜誌

Volume or Term/Year and Month of Publication

2卷3期(1991 / 09 / 01)

Page #

536 - 541

Content Language

英文

Chinese Abstract

自1985年元月起迄1991年元月底為止六年間,台大醫院泌尿科藉輸尿管鏡共治療271位病人,全部病人皆備有完全的資料可據以分析,本文乃針對這些病人進行回溯性探討。平均住院日為4.2天(範圍:3-14)平均尿石大小為9毫米(範圍:4-18毫米),平均追蹤時間為6.4月(範圍:3-28個月。吾人定義成功的治療為手術後三個月內尿石完全廓清。本研究之整體治療成功率為74.2%。其中上下段輸尿管為49.2%,中段輸尿管為76.1% 而下段輸尿管為84.2%。如果上述的治療輔以體外震波碎石術,則成率提高為:上段輸尿管82.0%,中段輸尿管88.7%,下段輸尿管92.1%。治療的過程中所遭遇過的併發症以輸尿管穿孔佔最多有32位,輸尿管斷裂有3位,大量出血有2位,結論:輸尿管鏡處理在治療中段及下段輸尿管結石為一安全又有效的方法。

English Abstract

A retrospective study was done on 271 patients who received ureteronrenoscopic stone manipulation (URS-SM) at the Department of Urology of National Taiwan University Hospital between January 1985 and January 1991. All patients had complete data for analysis Mean Hospital stay was 4.2 days (range:3-14 years). Average stone size was 9mm (range:4-18mm). Mean follow-up interval was 6.4 months (range:3-28 months). The success rate, a successful URS-SM is defined as being free of stone 3 months post-treatment, was 74.2% (201/271) in the whole series, and was 49.2% for upper ureteral stones, 76.1% for middle ureteral stones, and 84.2%for lower uretered stones respectively. If above therapy was augmented by extracorporeal shock wave lithotrpsy (ESWL), the success rate became 82.0%, 88.7%, and 92.1% for calculi located in the upper, middle, and lower ureteral segment respectively. Perioperative complications developed druing the procedure. Thiry-two cases (11.9%) had ureteral perforation, 3 cases (1.1%) disruption of ureter, and 2 casers (0.7%) sever bleeding. Ureterorenoscopic stone manipulation is and effevtive procedure for the treatment of middle and lower ureteral calculi in the era of ESWL.

Topic Category 醫藥衛生 > 醫藥總論
Times Cited
  1. 黃懷恩(2008)。泌尿專科醫療市場之研究-以揚昇泌尿健康中心為例。中央大學管理學院高階主管企管碩士班學位論文。2008。1-108。