查询词典 ureteral

In this study, we attempt to research for new measures to treat avulsion of the ureteral mucosa quite different from traditional methods, through recovering the continuity of the ureteral mucosa.

本文试图通过使用不同的方法恢复输尿管粘膜的连续性，从不同于传统方法的角度来探讨输尿管粘膜剥脱的治疗方法。

baric trajectorywith lithotripsy ureteroscopy can treat colic or functionfailure by ureteral calculi in emergency treatment.it is a simple、safety、efficient method to treat colic or functionfailure by ureteral calculiin emergency treatment.

急诊行行输尿管镜气压弹道碎石术治疗输尿管下段结石，可在短时间内缓解肾绞痛，及时解除孤立肾急性梗阻性肾功能衰竭，是简单省时、安全有效、在短时间内解除患者痛苦及挽救肾功能的有效方法。

Results Ureteral calculuses were showed as high density image in CT scanning.The CT values of the ureteral calculuses less than 7.5mm in diameter were beyond 83HU.The detection rate by CT was 96.3%.In all the 82 cases,ureteral with calculuses were found dilated and 69 cases with nephrohydrosis.

结果 输尿管膀胱入口处结石具有特征性的CT表现，即圆形或枣核状钙化高密度影，结石直径＜7.5mm，CT值≥83HU，CT确诊率96.3%。82例均发现病侧输尿管增粗，69例发现病侧肾盂少量积水，肾盂未见积水的输尿管膀胱入口处结石13例，其结石直径＜3.8mm。

objective to study the ct diagnosis of ureteral calculus at the distal end of ureter.methods 82 cases of ureteral caculus were examined by ct scanning.all cases were proved by clinical therapeutic results.results ureteral calculuses were showed as high density image in ct scanning.the ct values of the ureteral calculuses less than 7.5mm in diameter were beyond 83hu.the detection rate by ct was 96.3%.in all the 82 cases,ureteral with calculuses were found dilated and 69 cases with nephrohydrosis.in 13 cases with no nephrohydrosis,caculuses less than 3.8 mm in diameter were found.conclusion ct is the most valuable way to diagnose ureteral calculus at the lower end of ureter.appropriate methods of ct scanning are essential.

目的 回顾性分析输尿管膀胱入口处结石的ct诊断结果，评价其ct检查的临床应用价值。方法分析82例输尿管膀胱入口处结石的ct检查结果，所有病例均经尿道排石证实。结果输尿管膀胱入口处结石具有特征性的ct表现，即圆形或枣核状钙化高密度影，结石直径＜7.5mm，ct值≥83hu，ct确诊率96.3%。82例均发现病侧输尿管增粗，69例发现病侧肾盂少量积水，肾盂未见积水的输尿管膀胱入口处结石13例，其结石直径＜3.8mm。结论 ct检查输尿管膀胱入口处结石具有准确、无创、直观等优点，是诊断输尿管膀胱入口处结石不可替代的检查方法。

Results Of the 21 patients, 5 showed transplanted kidney swelling alone, 8 showed transplanted kidney swelling and perinephric dropsy, 1 showed atrophy and function failure of both kidney, 2 showed perinephric hemorrhage, 1 showed multiple small cysts, small calculi and perinephric dropsy of transplanted kidney, 1 showed ureteral fistula, ureteral stricture, hydronephrosis and infarct of subsegment kidney, 1 showed hydronephrosis and ureteral calculi, 1 showed swelling and pyonephrosis, and 1 showed rupture of transplanted kidney.

结果 21例患者中5例仅表现为移植肾肿胀，8例表现为移植肾肿胀并肾周积液；1例为双肾萎缩伴功能丧失；2例表现为移植肾周积血；1例表现为移植肾多发小囊肿、小结石并肾周积液；1例表现为移植肾输尿管旁尿瘘伴输尿管狭窄及肾积水、亚段肾梗死；1例表现为移植肾积水并输尿管结石；1例表现为移植肾肿胀，肾盂内积脓；1例表现为移植肾破裂。

The ureteral stents were kept between 6 to 14 days.The types of ureteral stents were resinic ureteral ducts and doluble"J" ureteral ducts. Results:The data of 364 patients who went through pneumatic lithotripsy before June 2004 were studied retrospetively.

结果：2002年5月～2004年6月，术后未放置输尿管支架管的89例患者中， 42％（37/89）出现输尿管绞痛、感染、尿外渗、发热和无尿等并发症；2004年7月～2006年3月，所有患者术后均放置输尿管支架管，术后无一例出现并发症。

Abstract］ objective to evaluate the distinctive clinical value of magnetic resonance urographymru）in the diagnosis of primary ureteral carcinoma.methods to compare the accuracy of diagnosis of mru with ultrasonography,urography,retrograde ureteropyelography and ct,diagnostic imaging and progress of ureteral carcinoma were analyzed in twenty-four cases from 2000 to 2006,twenty cases had mru examinations.the original preoperative diagnostic reports of various imaging facilities were analyzed on account of the results of operation and pathology.results mru could clearly show the obstructive location of ureter.with regard to the ureteral carcinoma,accuracy of the location diagnosis was 100%.mru was superior to ulstrasonography,kub+ivp,ureteropyelography and ct we used to apply.conclusion comparing with other diagnostic imaging facilities,it has an important value in highly efficient,accurate location,safe,noninvasive and so on with mru,which can be used to show the features of primary ureteral carcinoma and has a wider scope of clinical application.

目的 探讨磁共振水成像技术在原发性输尿管肿瘤中的临床诊断价值。方法分析2000～2006年24例原发性输尿管肿瘤的影像学诊断结果，并基于术中所见和病理报告，将磁共振水成像技术20例）与超声24例）、泌尿系造影24例）、逆行造影15例）、ct(19例）的确诊率相比较。结果 mru能清晰显示输尿管的梗阻部位，定位诊断准确率为100%，梗阻病因确诊率高于b超、泌尿系造影、逆行造影和ct检查。结论与其他影像诊断方法相比较，磁共振水成像在显示原发性输尿管肿瘤特征方面具有效率高、定位准确和安全无创等重要价值，而且有更广泛的临床应用范围。

Ureteroscopy was applied to treat 1200 cases which incelluded ureteral stones in 1010 cases (146 cases in upper, 344 cases in middle. 520 cases in lower),ureteral strictures in 18 ureteral double catheter stagnation in 38, urethral stricture in 38, bladder calculi in 41, pelvis calculi in 8, ureterovaginal fistula in 5 and others.

其中行输尿管镜治疗者1200例，包括输尿管结石1010例，其中上段结石146例、中段344例、下段520例；输尿管狭窄18例；医源性双J管滞留38例；男性尿道狭窄38例；膀胱尿道结石41例；肾盂结石8例；输尿管阴道漏5例；小儿逆行输尿管插管20例；内支架管置入22例。

Results one case with bladder injury and one case with ureteral injury recoveried after open operation,one case with bladder injury and one case with ureteral injury were cured through laparoscopic gynecological surgery,one case with bladder injury and two cases with uroschesis were cured after expectant treatment,one case with ureteral injury recoveried after being treated with ureteroneocystostomy.

结果 1例膀胱损伤及1例输尿管损伤术中转开放术治愈；1例膀胱损伤及1例输尿管损伤经术中镜下缝合伤口治愈；1例膀胱损伤经留置尿管保守治疗治愈；2例尿潴留均经保守治疗治愈；1例输尿管损伤经术后行输尿管膀胱再植术治愈。

objective to evaluate efficacy of extracorporeal shock wave lithotripsyfor treating ureteral stones in situ,investigate the cause of higher re-treatment rate.methods total of 687 patients with ureteral stone were received eswl between january 2000 and december 2004,included 455 male(66.2%) and 232 female(33.8%) patients,6 cases have bilateral ureteral calculi,12 cases have unilateral multiple calculi.hence,together 709 ureteral calculi were treated.patients upper ureteral calculi were treated in the supine position,for lower ureteral calculi patients were turned prone.to reduce eswl-induced renal trauma and pain,using lower energy source,adjusted power setting from 9.8 to 13.2kv,limited 1500 shock wavs per one session.no auxiliary procedure were used before eswl.the stone size was measured as the surface area of stone length by stone width on x-ray film.the interval between two treatment sessions was two weeks.results of 709 ureteral calculi,the overall stone free rate was 97.3%(690 calculi),re-treatment rate was 34.1%(292 calculi).according to the performed treatment sessions,one session 467 calculi,the mean stone size 37.27mm2,stone free rate 65.4%(464 calculi).two sessions 138 calculi,the mean stone size 62.48mm2,stone free rate 18.4%(131calculi).three sessions 52 calculi,the mean stone size 79.60mm2,stone free rate 7.1%(50calculi).four sessions 19 calculi,the mean stone size 101.63mm2,stone free rate 2.4%(17calculi).fivesessions 33 calculi,the mean stone size 119.33mm2,stone free rate 3.9%(28 calculi).overall 19 cases(2.7%)turned to other treatment modalities.of 335 upper ureteral calculi,303 achieved stone free (95.8%),re-treatment rate was 38.5%(129 calculi).of 374 lower ureteral calculi,369 achieved stone free(98.7%),re-treatment rate was 30.2%(113 calculi).the re-treatment rate of upper ureteral calculi was higher than lower ureteral calculi(p＜0.05,χ2=5.40).the difference of stone-free rate between upper and lower ureteral calculi was no significant(p＞0.05,χ2=0.15).conclusion eswl should be considered first line therapy for ureteral stone still.stone burden are the main variable of higher re-treatment rate,upper ureteral stone may moving with respiring during eswl.so efficinet shock wave was decreared,re-treatment rate become higher.

目的 评估体外震波碎石治疗输尿管结石的疗效，探讨再治疗率高的原因及输尿管结石的治疗选择。方法回顾2000年1月～2004年12月间eswl治疗输尿管结石的临床资料687例，男455例（66.2%），女232例（33.8%），平均年龄46.6岁（15～83岁）。有双侧输尿管结石6例，单侧多发性输尿管结石12例（4颗1例，3颗2例，2颗9例），共计输尿管结石709颗（含透光结石13颗）。应用上海爱申公司生产的desunit6030型碎石机，c臂x线球管做结石定位。上段输尿管结石（肾盂输尿管交界处至骶髂关节上缘）取仰卧位，下段输尿管结石（骶髂关节上缘下至输尿管口）取俯卧位。为减少eswl引起的肾损伤和疼痛，应用较低的能量，震波发生器电压从9.8～13.2kv，震波频率1.5s。每次治疗设定为1500次震波。治疗后3天摄腹部平片或b超，以后每隔7日重复检查。假如结石未碎或有残留结石最长径＞3mm以上，再次eswl，两次治疗的间隔时间为两周。结石的大小用x线片上的表面积（mm2表示。结果 709颗输尿管结石总的治愈率为97.3%（690颗），再治疗率34.1%（242颗）。其中一次治疗467颗，平均结石大小37.27mm2，治愈464颗（65.4%），3颗改治疗；两次治疗138颗，平均结石大小62.48mm2，治愈131颗（18.5%），7颗改治疗；第1和第2次治疗治愈率（1个月治愈率）为83.8%。3次治疗52颗，平均结石大小79.60mm2，治愈50颗（7.1%），2颗改治疗；4次治疗19颗，平均结石大小101.63mm2，治愈17颗（2.4%），2颗改治疗；5次及5次以上治疗33颗，平均结石大小119.33mm2，治愈28颗（3.9%），5颗改治疗。总计19颗（2.7%）结石改变治疗方式。上段输尿管结石335颗，治愈321颗（95.8%），再治疗129颗（38.5%）。下段输尿管结石374颗，治愈369颗（98.7%），再治疗113颗（30.2%）。经χ2检验，上、下段输尿管结石的再治疗率差异有显著性（χ2=5.40，p＜0.05），治愈率差异无显著性（χ2=0.15，p＞0.05）。不良反应：血压升高13例（1.9%），震波区域疼痛26例（3.8%），震波进入处皮肤点状淤血33例（4.8%），肉眼血尿128例（18.6%），均于第2、3天自行消失。结论 eswl目前仍是输尿管结石的第一线治疗，结石的大小是再治疗率高的主要因素。结石的位置有影响，上段输尿管结石可随呼吸移动，有效震波次数减少，再治疗率比下段输尿管结石高。eswl前注重病例筛选可降低再治疗率。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。