泌尿系结石微创治疗是.ppt

泌尿系结石微创治疗 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 泌尿系结石 约占泌尿外科门诊量的25-30% 影响5-15%的世界人口, 治疗后复发率接近50% 现约90%患者采用微创手术 背 景 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 泌尿系结石的主要治疗方法 排石疗法：肾结石直径＜５mm 溶石疗法：较小的尿酸结石，如三聚氰胺结石等 无创 微创 背 景 体外冲击波碎石术（ ESWL） 经皮肾镜碎石术 （PCNL） 输尿管镜下钬激光碎石术 有创 开放手术（传统） Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 开放手术（开刀） Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 体外冲击波碎石 经皮肾镜 输尿管镜 Jay D.R,Margaret.Management options for lower pole renal calculi.current opinion in urology 2008,18:214-219 泌尿系结石微创治疗方法 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 适应证 肾结石直径2cm 面积500mm2 输尿管结石 体外冲击波碎石 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 体外冲击波碎石视频 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 碎石原理图 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 体外碎石疗效 结石 体外碎石前 体外碎石后 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 1.无创碎石，患者易接受 2.简便,无需住院,不影响工作和生活 体外冲击波碎石 ESWL 优点 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 1.碎石后血尿、肾功能受损、肾萎缩、输尿管狭窄等可能。 2.部分坚硬结石不能粉碎. 3.巨大结石碎石后不易排出。 4.对结石伴输尿管炎症、水肿、粘连等，体外冲击波碎石无效。 体外冲击波碎石 ESWL 缺点 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. 适应证 2cm肾结石 铸形结石 肾盏内多发结石 憩室内结石 手术或ESWL残留结石 UPJ梗阻结石 经皮肾镜碎石　PCNL Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.