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目的:探讨经输尿管镜气压弹道碎石治疗输尿管结石的疗效。方法:应用经输尿管镜气压弹道碎石治疗输尿管结石128例。结果:119例一次性碎石成功,成功率92.97%,术中4例上段结石碎石片上移至肾盂,术后行体外冲击波碎石治疗,5例进镜困难改开放手术,术后平均住院时间5.5 d,术后2周结石排净率100%。结论:经输尿管镜气压弹道碎石是一种治疗输尿管结石安全、高效、创伤小、恢复快的方法。
Objective: To investigate the efficacy of ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods: 128 cases of ureteral stones treated by ureteroscopic pneumatic lithotripsy. Results: One hundred and ninety-nine cases of one-off gravel succeeded, with a success rate of 92.97%. Four of them were moved to the pelvis on the upper segment of the lithotomy. Extracorporeal shock wave lithotripsy was performed in 5 cases. Time 5.5 d, 2 weeks after the stone clear rate of 100%. Conclusion: The ureteroscopic pneumatic lithotripsy is a safe, efficient, less invasive and faster recovery method for ureteral calculi.