输尿管支架对上尿路蠕动的影响。

Urologiia i nefrologiia Pub Date : 1998-09-01
I S Mudraia, S S Zenkov, A G Martov, V I Kirpatovskiĭ
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引用次数: 0

摘要

采用多通道输尿管阻抗造影对10例肾积水伴尿石症患者进行内引流及支架操作前输尿管运动变化的观察。输尿管支架的建立降低了蠕动幅度和频率以及输尿管张力。支架取出后,20%的患者出现输尿管蠕动功能亢进。尿动力学的积极作用包括更好地调节运动,消除局部障碍灶,改善上尿路不同部位运动的协调性。对于积极的结果,重要的是实践一个单独的方法来选择引流时间和支架的大小。尿动力学阻抗研究可用于控制内镜治疗的充分性。
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[The effect of ureteral stents on the peristalsis of the upper urinary tracts].

Ureteral motility changes were followed up in 10 patients with hydronephrosis and urolithiasis which were recorded by multichannel impedance ureterography prior to internal drainage and during stent manipulations. The establishment of the ureteral stents reduces peristaltic amplitude and frequency as well as ureteral tonicity. After the stent removal 20% of the examinees showed peristaltic hyperfunction of the ureter. Urodynamic positive effects of the stents consist in better regulation of the motility, elimination of its local disturbance foci, improved coordination of movements of different parts of the upper urinary tracts. For positive results it is important to practice an individual approach to choice of drainage time and stent size. Urodynamic impedance studies can be used in control of endoscopic treatment adequacy.

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