上泌尿道結石體外電震波碎石術後經皮腎造瘻術之應用 | 合法醫療器材資訊網

由王家槐著作·1990—全文下載.上泌尿道結石體外電震波碎石術後經皮腎造瘻術之應用...Wethereforetriedpercutaneousnephrostomy(PCN)in12casesofpatientswhodevelopedstone ...

Since 1980, extracorporeal shock wave lithotripsy (ESWL) has been widely used in the treatment of stones in the upper urinary tract, and our hospital began to use ESWL in 1985. After ESWL of stones in the upper urinary tract, fragments have to pass out of the human body through the natural course of urinary tract. During the passage of stone fragments, stasis may occur in some cases which may cause pyonephrosis or impairment of the renal function. In other cases, the stones could not be broken by ESWL or the fragments might lodge in the upper urinary tract for a period of time. We therefore tried percutaneous nephrostomy (PCN) in 12 cases of patients who developed stone street in the ureter without or with pyonephrosis after ESWL (group 1); and percutaneous nephrolithotomy (PCNL) in 18 cases who developed lodgement of the stone fragments in the upper urinary tract for a period ti...