Dissolution of Ureteral Uric Acid Calculi with Local Litholytic Irrigation

This study was designed to evaluate the efficacy of local litholytic irrigation (LII) in the treatment of ureteral uric acid calculi. Fourteen cases of ureteral uric acid calculi were diagnosed by abdominal plain radiography (KUB)， retrograde urography， ultrasonography( B-mode ultrasound) spiral com...

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Bibliographic Details
Published in:	Journal of Huazhong University of Science and Technology. Medical sciences Vol. 25; no. 3; pp. 317 - 319
Main Author:	陈志强姚林方叶章群杨为民
Format:	Journal Article
Language:	English
Published:	China Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030,China 2005
Subjects:	Adult Aged Female Humans Middle Aged Potassium Chloride - administration & dosage Sodium Chloride - administration & dosage Therapeutic Irrigation - methods Tromethamine - administration & dosage Ureteral Calculi - chemistry Ureteral Calculi - therapy Uric Acid Urinary Catheterization 治疗方法泌尿系结石灌洗疗法 litholysis ureter THAM-E uric acid calculi
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Summary:	This study was designed to evaluate the efficacy of local litholytic irrigation (LII) in the treatment of ureteral uric acid calculi. Fourteen cases of ureteral uric acid calculi were diagnosed by abdominal plain radiography (KUB)， retrograde urography， ultrasonography( B-mode ultrasound) spiral computerized tomography(CT) and blood biochemical examinations. A ureteral catheter was passed retrogradely across ureteral calculi by cystoscopy，LLI with tromethamine E(THAM-E) was performed via the ureteral catheter after the improvement of renal function and general situation and the control of urinary tract infection under the condition of intravenous application of antihiotics. The irrigation rate varied from 1000 to 1500 ml per day. Retrograde pyelography demonstrated complete dissolution of all the stones,13 cases within 10 days and I within I2 days. Mild hematuria was observed in the majority of the cases and temporary aggravated lumbago in 1 case, with no other side effects. It is concluded that LLI is a practical and effective method in the treatment of ureteral uric acid calculi for its advantages of shorter duration,lower cost,less physical suffering and no severe complications。
Bibliography:	R691.4 42-1679/R ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1672-0733 1993-1352
DOI:	10.1007/bf02828154