输尿管上段结石治疗方法的选择（Selection of treatment methods for upper ureteral calculi）.docVIP

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输尿管上段结石治疗方法的选择（Selection of treatment methods for upper ureteral calculi）.doc

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输尿管上段结石治疗方法的选择（Selection of treatment methods for upper ureteral calculi）

输尿管上段结石治疗方法的选择（Selection of treatment methods for upper ureteral calculi） Ureteral calculi of urinary stones is the most common, and most of the complications caused by ureteral calculi, such as ureteral obstruction, hydronephrosis, renal colic and complications such as infection, seriously affect the patients quality of life and labor. Ureteral calculi to more complications, treatment difficulties, poor efficacy of the most attention. Ureteral calculi refers to calculi in upper ureter, urinary calculi is above the iliac crest to the ureteropelvic junction. The editor of Yan Qun treatment guidelines for the diagnosis of diseases in Department of Urology Chinese (2007 Edition) for the treatment of ureteral calculi is strategy (1, 2, 3, 4 for the selection of sequential treatment),:1 calcium stones and cystine stones of in situ extracorporeal shock wave lithotripsy (extracorporeal shock wave lithotripsv, ESWL); II. The stone after the push ESWL; the hard or soft ureteroscopic lithotripsy (ureterorenoscope lithotripsy, URL); the percutaneous nephrolithotomy (percutaneous nephrolithotripsy, PCNL); 2, urinary tract infection or stones and infection, the positive anti infection treatment after ESWL; 3, uric acid or uric acid stones the support + dissolution therapy, the venous / retrograde pyelography in situ ESWL+ dissolution therapy, the hard or soft ureteroscopic lithotripsy and percutaneous nephrolithotomy. On both the ESWL and ureteroscopic lithotripsy who more minimally invasive debate, compared with ureteroscopic treatment again, the possibility of a larger ESWL. Because good upper ureteral calculi ESWL stone simple stone effect, while ureteroscopic lithotripsy is difficult, the potential risks of serious complications, such as ureteral perforation and avulsion, therefore, for simple ureteral calculi can be the first choice of ESWL with medicine row stone. ESWL stone fails to timely change ureteroscopy or percutaneous nephrolithotomy. For complex upper ureteral cal