...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Urology >Outcomes of Ureteroscopy for the Management of Impacted Ureteral Calculi With Different Localizations
【24h】

Outcomes of Ureteroscopy for the Management of Impacted Ureteral Calculi With Different Localizations

机译：输尿管镜检查治疗局部局限性输尿管结石的结果

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

To assess the effectiveness of Holmium:yttrium-aluminum-garnet lithotripsy for the treatment of impacted ureteral stones with different localizations. In this retrospective study, between January 2010 and October 2011, 105 patients underwent Ho:YAG laser lithotripsy for impacted ureteral stones with different localizations. Ninety patients (85.7%) had single ureteral stone and 15 (143%) had multiple stones. Single stone mean and multiple stone burden were 11.9 +- 4.6 mm and 23.8 +- 8.5 mm, respectively. Intraoperative and postoperative complications were grouped according to the modified Clavien grading system. Success rates with regard to stone localization after single endoscopic session for single stones were 95.7%, 88.8%, and 81.8% for lower, middle, and upper ureter, respectively. The stone clearance rate was reclassified as lower (below the iliac crest) and upper, the stone clearance rate was highest in the lower ureteral stones (55 of 57 patients, 96.5% vs 27 of 33 patients, 81.8%; P = .047). Operation time and the success rate were the only statistically significant parameters effecting the complications (P = .001 and P = .012). According to the Clavien classification system, the overall complication rate was 27.5% in our study. The distribution of 44 complications in 27 patients; grade I, II, IIIa, 1Kb, and IVa was 17 (16.2%), 6 (5.7%), 7 (6.7%), 13 (12.4%), and 1 (0.9%), respectively. Complications are more common in patients with longer operation time and unsuccessful intervention. Ureterorenoscopy (URS) using Ho:YAG laser lithotripsy can be an effective and safely performed technique in impacted stones with different localizations and considered as the first-line approach at single setting.
机译：评估Hol：钇铝石榴石碎石术治疗不同部位的输尿管结石的有效性。在这项回顾性研究中，2010年1月至2011年10月，有105例患者接受了Ho：YAG激光碎石术，治疗了不同部位的受累输尿管结石。九十名患者（85.7％）有输尿管结石，而十五名（143％）有多发结石。单石平均和多石负担分别为11.9±4.6 mm和23.8±8.5 mm。根据改良的Clavien分级系统对术中和术后并发症进行分组。输尿管下，中，上输尿管单次结石内镜治疗后结石定位的成功率分别为95.7％，88.8％和81.8％。结石清除率重新分类为较低（（下方）和较高，在下部输尿管结石中结石清除率最高（57例中的55例，96.5％，33例中的27例，81.8％; P = .047） 。手术时间和成功率是影响并发症的唯一具有统计学意义的参数（P = .001和P = .012）。根据Clavien分类系统，在我们的研究中，总并发症发生率为27.5％。 27例患者中44例并发症的分布; I，II，IIIa，1Kb和IVa级分别为17（16.2％），6（5.7％），7（6.7％），13（12.4％）和1（0.9％）。手术时间较长且干预失败的患者，并发症更为常见。使用Ho：YAG激光碎石术的输尿管镜检查（URS）可以是一种有效且安全的技术，可用于不同位置的受冲击结石，并且被认为是单一设置的一线治疗方法。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号