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目的:探讨经尿道输尿管镜气压弹道碎石术治疗输尿管结石的临床疗效。方法:采用经尿道输尿管镜气压弹道碎石术治疗输尿管结石408例。结果:术后检查392例结石完全消失,15例有残留结石,术中中转开放手术1例,一次净石率为96.0%。术中致输尿管穿孔3例,置输尿管镜未成功1例,术后菌血症2例。结论:经尿道输尿管镜气压弹道碎石术损伤小,碎石成功率高,恢复快,治疗输尿管结石的疗效良好。
Objective: To investigate the clinical efficacy of transurethral ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods: Transurethral ureteroscopic pneumatic lithotripsy was used to treat 408 cases of ureteral calculi. Results: 392 cases of stones disappeared completely, 15 cases had residual stones. One case was transferred to open surgery during operation, and the net stone rate was 96.0%. Intraoperative ureter perforation in 3 cases, ureteroscopy set unsuccessful in 1 case, postoperative bacteremia in 2 cases. Conclusion: Transurethral ureteroscopic pneumatic lithotripsy has less injury, high success rate of gravel, quick recovery and good curative effect in treating ureteral calculi.