Ureterorenoscopic Stone Manipulation Of Ureteral Calculi
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)
ureterorenoscope ； ESWL ； ureteral calculi
|Volume or Term/Year and Month of Publication||
2卷3期（1991 / 09 / 01）
536 - 541
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.