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目的探讨输尿管镜气压弹道碎石(ureteroscopic pneumatic lithotripsy,USPL)治疗输尿管结石所致急性尿闭的疗效、安全性和可行性。方法回顾性分析14例20侧输尿管结石所致尿闭行急诊USPL治疗患者的临床资料。结果各病例US-PL均成功,并放置D-J管作内引流,4例术后有淡红色血尿,3例出现感染,无尿瘘等并发症发生。结论输尿管结石所致尿闭,急诊行USPL,安全可行、有效。
Objective To investigate the efficacy, safety and feasibility of ureteroscopic pneumatic lithotripsy (USPL) in the treatment of acute urolithiasis induced by ureteral calculi. Methods The clinical data of 14 patients with ureteral obstruction due to 20 ureteral stones underwent USPL treatment were retrospectively analyzed. Results US-PL was successful in all cases, and D-J tube was placed for internal drainage. Four cases had postoperative blood with light red hematuria, three cases had infection, and no complications such as urinary fistula occurred. Conclusion Ureteral stones caused by ureteral obstruction, emergency line USPL, safe and feasible.