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City of Hubei province yellow stone loves make water of health hospital secrete small start surgical department from August 2007 up to now, ureter lens of applied Switzerland EMS and ureter of cure of baric and ballistic stone crusher are calculous, give after art nurse accordingly measure, the patient recovers entirely leave hospital, obtain satisfactory result. Will nurse now experience reports as follows.

输尿管镜下气压弹道碎石术是20世纪90年代初应用于临床的泌尿外科腔内碎石新技术,其机制是将压缩气体产生的能量驱动碎石机手柄内子弹体,子弹体脉冲式冲击结石而将结石击碎,是目前治疗输尿管中、下段结石的首选治疗方法[1]。

AIM: To establish an animal model of cholesterol stone and to explore the effects of cholecystokinin on gallbladder muscle stripes of guinea pigs with cholesterol stone in vitro as well as to investigate the role of biliary kinetics in cholesterol stone formation.

摘要目的:建立胆固醇结石实验动物模型,探讨胆囊收缩素(cholecystokinin, CCK)对胆固醇结石豚鼠离体胆囊肌条收缩的影响,并研究胆道动力因素在胆固醇结石形成中的作用。

Nevertheless, our study concerning the patient characteristics causing consensus problem of medical service utilization in ESWL, especially, excess of demand may provide useful information to reform a health care delivery system, such as increased premium according to increased income, increased copayment and propaganda of health education.

在本研究中的确发现即使已有治疗标准,体外震波碎石术之医疗服务利用决策行为依旧存在医病双方利用不一致的情形,且医疗使用者确实有过度使用的情形,建议可依收入的差异,扩大保费间的差异,适度增加不同收入层级间的保险费用;除此之外,相关单位也应订定合理的体外震波碎石术的自付额,尤以门诊为最,加强民众使用者付费的观念,减少滥用医疗资源的情形;更重要的是增加结石病人有关结石治疗的卫教宣导,让病人了解结石治疗各类方法的优缺点及可能之并发症,不要一昧认为最贵就是最好治疗方法。

Under prospective, random, controlled trial, We fractionate 40 case report to two group, one is pure west medicine, other is combined therapy of Chinese medicine include Chinese crude drug, electro-acupuncture therapy, intermediate. We evaluate the curative effect by KUB and B Supersound , use postoperative rehabilitation measuring scale to analysis patient, and adopt Ward s method summarize the syndrome after operation.

术后两组患者结石残留率经统计分析无明显差异,KUB复查提示两组疗效相当,差别无显著性意义,提示术后短期内(7天)结石残留率取决于手术情况,中医介入治疗不能改变短期结石残留率,但长期疗效有待进一步研究。

Results The grinding rate of caculus after one lithotrity was 96.4%, and the average time for caculus to discharge from body was 2.5 weeks; the average operating time was 22 minutes; the hospitatization was 2 days.

结果 110例输尿管结石患者一次手术结石粉碎率为96.4%(106例),平均结石排净时间2.5周;平均手术时间和术后住院天数分别为22min及2d。

Results: The grinding rate of calculus after one lithotrity was 83.5%, of 9 cases calculus run in kidney, other 8 cases were subject to surgery due to renal duct severe twist under calculus.

结果:123例输尿管结石患者一次手术取尽率为86.2%(106例),有9例结石完整进入肾内,8例因结石之下输尿管严重扭曲改其他术式。

Objective To evaluate applicability and therapeutic effects of acute calculi obstructive renal failure with uretropyeloscopy. Methods 21 patients with acute calculi obstructive renal failure were treated by ballistic lithotrity under ureteropyeloscopy and indwelled with double-J catheters.

目的 探讨输尿管镜在处理因结石梗阻引起肾衰时的应用和疗效方法对21例输尿管结石19例(其中上段4例,中下段15例,肾盂内发性结石并出口梗阻3例)出现梗阻性肾衰的患者实施输尿管气压弹道碎石术及留置双J管治疗。

holmium laser lithotrity is an optimal way in patient with ureteral calculus that diameter in 2 cm, more inflammatory granulation tissue around calculus and no manifest obstruct under calculus.

对于直径<2cm、结石处炎症肉芽组织多、结石下段无明显梗阻的输尿管结石,输尿管镜下钬激光碎石治疗仍是最好的选择。

AIM: To study the sphincter of Oddi motility by choledochoscopic manometry, and to investigate the manometric appearance of sphincter of Oddi disorders and its relationship with bile duct stones.

摘要目的:对胆管结石患者术后经"T"管窦道行胆道镜测压,研究胆管结石患者术后Oddi括约肌功能,探讨结石与SO功能变化的关系。

Two- dimensional KUB examinations were performed 1- 2 weeks,1 month,3 months and 6 months after the therapy. RESULTS:Elimination of marginal nephrolith was observed in 70 cases(90.9 %),residual in 5 cases and ineffective in 2 cases.

应用 MZ- V型低能量体外冲击波碎石机治疗边缘性鹿角形结石 77例,部分缘性鹿角形结石 49例,完全缘性鹿角形结石 6例, ESWL 治疗后 1, 3, 6 月进行 B超、 KUB检查和随访。

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