Foleys切口治疗输尿管上段结石的体会
上段结石,,Foleys切口；输尿管；上段结石,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 介绍使用Foleys切口的方法治疗输尿管上段结石的体会。方法 输尿管上段结石30例，经腰部切口，长约5～8cm，皮肤切开后，用小S拉钩将腹外斜肌、腹内斜肌、腰背筋膜和背阔肌牵拉开，在腰大肌的前方找到输尿管与结石，取出结石后放置双-J导管。结果 30例中29例结石一次取尽，残石率为0，同时处理输尿管息肉7例，输尿管狭窄1例。失败1例为术中结石上滑到肾脏，放置双-J导管后用体外震波碎石(ESWL)处理。结论 Foleys切口具有切口小、损伤轻、病人恢复快、结石清除率高和同时能处理病变输尿管等优点。【关键词】 Foleys切口；输尿管；上段结石
The experience of removing upper ureter stone with Foleys incision
DONG Guo-qin,FU Qiang,ZHANG Ke,et al.Department of Urology,Shanghai Jiaotong University Ninth Peoples Hospital,Shanghai 200011,China
【Abstract】 Objective To introduce a technique for remove the upper ureter stone with Foleys musclesplitting incision.Methods 30 cases of upper ureter stone were operated by waist incision with 5～8cm length.The ureter were exposed by separating latissimus dorsi muscle,external oblique muscle of abdomen,internal oblique muscle of abdomen,transverse muscle of abdomen with a pair of “S” hooks.The ureter were incised and stone removed.The double “J” were stent were indwell routinely.Results Of 30 cases calculi,29 cases successfully remove calculi.Among the 29 cases,7 cases ureter polypi and 1 case ureter stricture were treated.One case failure because the stone ascended to kidney during the operation,this case was treated successfully by ESWL postoperative.Conclusion Foleys incision contributed to rapid recover of patients because of its miniincision,slight trauma,removing stone completely and deal with pathological change of ureter. ......
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