Overcome in vitro lithotripsy of ureteral calculi in the middle of the storm.docVIP

 PAGE \* MERGEFORMAT 7 Overcome in vitro lithotripsy of ureteral calculi in the middle of the storm [Keywords:] lithotripsy; ureteral stones Ureteral stone lithotripsy has always been in vitro (extracorporeal shock wave lithotripsy, ESWL) the difficulties, and middle ureteral stones is most difficult. From October 1998 to October 2009, I have no choice Stone Center admitted a row 386 cases of ureteral calculi in patients with middle, once cured 295 patients, 78 patients were cured after the second treatment, there were 13 patients cured after treatment, three received satisfactory outcome, reduce suffering and economic burden of patients. 1 Clinical data 1.1 General information on the total number of 386 patients treated, 248 cases of male and female 138 cases, 19-year-old male to female ratio 1.8:1,10 40 cases, 20 to 29 years in 242 patients aged 30 to 39 of 76 cases, 28 cases over 50 years old to young males. stone size 0.5 ~ 2.0 cm, an average of 1.2 cm, stones in 379 cases were positive and negative for the 7 cases of stones. 1.2 How 1.2.1 preoperative preparation (1) All patients were given abdominal X-ray and intravenous pyelography examination. (2) preoperatively to do routine blood test, urine routine, liver function, kidney function, coagulation, ECG. ( 3) The night before surgery, told light diet, Eat food gas production; senna soaked in water use. (4) of preoperative oral magnesium sulfate or mannitol to eliminate intestinal gas, and complemented by warm water cleansing enema, ultrasound can easy to show stones. 1.2.2 side of the dash location in supine patients, in 2 ~ 3 cm umbilical side to find tender points, in order to align the center line ultrasonic probe longitudinal tenderness, looking for iliac artery and ureter interrupt intersection, can be seen in the iliac artery and the pulsatility Mission stones were light, this point as the starting point pen in the direction of cross-section of a straight line extended to patien