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我院自1979～1983年做了输尿管切开取石20例,术后观察的体会如下: 本组病例在上段输尿管10例,中段输尿管4例,下段输尿管6例。 1.切开取石的适应证不能以结石的大小作为手术的依据。要以肾、输尿管积水程度、结石形态、光滑情况和结石部位之输尿管有无异常做为主要依据。本组20例输尿管结石中表面不光滑和呈多角形者16例,其中最小结石只有0.3×0.2×0.2厘米大小,但肾、输尿管积水均超过中等量。且木中发现与输尿管粘膜已嵌顿。 2.腰背纵切口适用L_2至L_4之上段输尿管结石,此切口径路表浅,不切断肌肉,具有损伤小,暴露清
Our hospital from 1979 to 1983 did ureterotomy stone in 20 cases, postoperative observation of the experience are as follows: This group of patients in the upper ureter 10 cases, 4 cases of middle ureter, the lower ureter in 6 cases. 1. incision stone indication can not be the size of the stone as the basis for surgery. To the kidney, ureteral hydrops, stone morphology, smooth and ureteral stones without exception as the main basis. The group of 20 cases of ureteral calculi in the surface is not smooth and polygonal in 16 cases, of which the smallest is only 0.3 × 0.2 × 0.2 cm in size, but the kidney and ureter were more than moderate amounts of water. And found in wood and ureteral mucosa has been incarcerated. 2. Longitudinal longitudinal incision L_2 to L_4 upper ureteral calculi, the incision path superficial, do not cut off the muscle, with less damage, exposure to clear