论文部分内容阅读
目的探讨输尿管镜下气压弹道碎石术治疗输尿管结石的疗效。方法应用输尿管镜下气压弹道碎石术治疗输尿管结石168例。男117例,女51例,年龄19~65岁,平均41岁。输尿管上段结石14例,中段61例,下段93例。结石直径0.6~2.4cm,平均0.8cm。结果168例输尿管结石中,一次性碎石成功159例,占94.6%。碎石失败9例,占5.4%,其中5例输尿管上段结石移位至肾盂,留置双J管后行体外冲击波碎石(ESWL)治愈,另外3例进镜失败患者和1例输尿管穿孔患者均立即改行开放手术治愈。结论输尿管镜下气压弹道碎石术治疗输尿管结石具有微创、安全、效果好等优点,可作为输尿管中、下段结石的首选治疗方法。
Objective To investigate the efficacy of ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods Ureteroscopic pneumatic lithotripsy in 168 cases of ureteral calculi. 117 males and 51 females, aged 19 to 65 years, mean 41 years. Upper ureteral calculi in 14 cases, 61 cases of middle, lower 93 cases. Stone diameter of 0.6 ~ 2.4cm, an average of 0.8cm. Results 168 cases of ureteral stones, 159 cases of one-time gravel success, accounting for 94.6%. Gravel failure in 9 cases, accounting for 5.4%, of which 5 cases of upper ureteral calculi translocation to the renal pelvis, placed in double J tube after extracorporeal shock wave lithotripsy (ESWL) cure, and the other 3 cases failed to enter the mirror and 1 cases of ureter perforation patients Immediately switch to open surgery to cure. Conclusions Ureteroscopic pneumatic lithotripsy for the treatment of ureteral calculi has the advantages of minimally invasive, safe and effective, which can be used as the first choice for the treatment of middle and lower ureteral calculi.