電傳媒 Loading

驚!五旬男腎結石11cm大 軟式輸尿管鏡無傷口擊碎

【記者 玉女 台中 報導】

54歲游先生去年底開始,斷斷續續發現如廁時尿中有血,因為不會疼痛,所以也不以為意,直到今年初血尿情形愈來愈嚴重,才至長安醫院泌尿科就診,經X光檢查發現腎臟裡有11cm大的腎結石,是俗稱的「鹿角型結石」。因結石體積太大,不適合做體外震波碎石,黃煒軒醫師建議透過「軟式輸尿管鏡碎石術」治療。術後觀察三個月,因無傷口疼痛少恢復快,目前已不再有血尿情形,讓他十分開心。
  
長安醫院泌尿科黃煒軒醫師表示,發生血尿的原因有很多,70%是結石、20%是腫瘤,另外10%是結石感染或受創傷等其他原因所致。游先生經X光檢查,發現右側腎臟有一顆11cm大的結石,因石頭太大顆,無法透過體外震波碎石,需經由手術方式治療。但傳統經皮腎穿刺手術是從腎臟打一個洞進去取石,屬高風險手術,因腎臟血管豐富,除了要全身麻醉且血流量多,於是建議游先生透過最新「軟式輸尿管鏡碎石術」治療。

黃煒軒醫師指出,「軟式輸尿管鏡碎石術」是從尿道放入軟式輸尿管鏡深入腎臟碎石,由於其鏡頭可彎曲至360度,配合手腕、手肘的轉動,鎖定結石後再搭配鈥雷射光纖,達到粉碎結石效果,碎石的成功率比體外震波及傳統健保經皮腎穿刺手術都要好。其優點包括沒有傷口、不會造成腎臟實質的損傷、不受限於結石大小、術後疼痛感低、復原速度快。對於結石已超過2公分,不適合透過傳統體外震波碎石處理,或是年紀較大、慢病病史多、服用抗凝血劑的患者,是較安全的手術方式,但因是新式手術,目前健保無給付,需要自費。

黃煒軒醫師說,腎結石是常見的疾病,除了先天性遺傳、體質等因素外,通常和生活飲食息息相關,尤其是「水喝不夠」,容易造成尿中鈣、草酸、尿酸等物質的濃度高,因而形成結晶結石。主要好發於40~60歲的中年人身上,此外肥胖、糖尿病、代謝症候群以及心臟疾病患者,也比其他人更易發生。

呼籲民眾平日要多喝水、少鹽少油,一旦出現血尿、單側腰部疼痛等情形,建議盡早就醫檢查及接受治療,以免疼痛日漸加劇,影響正常生活。

9 thoughts on “驚!五旬男腎結石11cm大 軟式輸尿管鏡無傷口擊碎”

  1. Hey, I think your website might be having browser compatibility issues.
    When I look at your blog site in Ie, it looks fine but when opening in Internet Explorer, it has some overlapping.
    I just wanted to give you a quick heads up! Other then that, very good blog!

  2. Hello, i read your blog occasionally and i own a similar one and i was just curious if you get a lot of spam comments?
    If so how do you stop it, any plugin or anything you can recommend?
    I get so much lately it’s driving me crazy so any
    assistance is very much appreciated.

  3. Wonderful beat ! I would like to apprentice while you amend your website, how
    can i subscribe for a blog site? The account aided me a acceptable
    deal. I had been tiny bit acquainted of this your broadcast offered bright clear idea

  4. We are a bunch of volunteers and opening a new scheme in our community.

    Your site provided us with useful information to work
    on. You have performed an impressive job and our whole community
    might be thankful to you.

發佈留言

發佈留言必須填寫的電子郵件地址不會公開。