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Title: 経尿道的尿管砕石術(Transurethral lithotripsy;TUL)における術前Double-J catheter留置の有用性
Other Titles: The effects of preoperative insertion of double-J catheter in transurethral lithotripsy (TUL)
Authors: 喜多, 芳彦  KAKEN_name
東, 義人  KAKEN_name
伊藤, 坦  KAKEN_name
久世, 益司  KAKEN_name
武田, 隆男  KAKEN_name
竹内, 秀雄  KAKEN_name
吉田, 修  KAKEN_name
Author's alias: Kita, Yoshihiko
Higashi, Yoshihito
Ito, Hitoshi
Kuze, Masuji
Takeda, Takao
Takeuchi, Hideo
Yoshida, Osamu
Keywords: TUL
Double-J catheter
Issue Date: Mar-1992
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 38
Issue: 3
Start page: 277
End page: 280
Abstract: 1) 55例のTULを術前にD-J catheterを留置した27例,D-J catheterを留置しなかった28例に分類した.2) D-J catheter留置により尿管の拡張がえられ,尿管ブジーを要さずに容易に尿管鏡の挿入が行える.3)尿管鏡操作が容易なために手術時間の短縮ができる.4)尿管の拡張は3日間のD-J catheterの留置で充分であった.5)膀胱刺激症状を与えた症例もあるが,症状に耐えられず抜去することはなかった.6) D-J catheter留置の有無にかかわらず術後の経過に差異はなく,経過観察期間にはTULによる尿管狭窄は認められなかった
Transurethral lithotripsy (TUL) was performed in the cases in which the ureteral calculi were not destroyed by the extracorporeal shock-wave lithotriptor (Dornier HM-3, EDAP LT 01). Preoperative placement of double-J ureteral catheter (D-J catheter) caused ureteral dilation, allowing smooth insertion of the ureteroscope. We divided the 55 TUL cases into two groups, those with (27) or without (28) a D-J catheter placed preoperatively, and compared requirement of ureteral bougination, difficulty of ureteroscope insertion and duration of operation between the two groups. In all cases with a D-J catheter, ureteral bougination was not necessary, the insertion of ureteroscope was easier and the duration of operation was shorter than the cases without a D-J catheter. Bladder irritable symptoms were seen in some cases with a D-J catheter but did not require removal of the D-J catheter. On the follow-up term after TUL, there was no difference in the incidence of postoperative fever or postoperative ureteral stenosis, between the cases with and those without a D-J catheter.
PubMed ID: 1523981
Appears in Collections:Vol.38 No.3

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