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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 :经尿道在输尿管镜窥视下采用气压弹道碎石机对 116例输尿管结石进行碎石治疗。结果 :10 9例原位碎石成功 ,成功率为 94.0 % ,平均碎石时间 (4.6± 2 .3)min ,术后 1～ 3个月结石排净率 10 0 % ,并发症发生率 6 .0 % ,分别为输尿管黏膜下损伤 2例 ,穿孔 1例 ,肾绞痛 2例 ,感染 2例。结论 :经尿道输尿管镜气压弹道碎石术治疗输尿管结石安全、有效、容易操作 ,是治疗输尿管中下段结石的首选方法
Objective: To investigate the clinical efficacy of transurethral ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods: 116 patients with ureteral calculi underwent ureteral lithotripsy through the urethra under ureteroscopy. Results: The success rate was 94.0% in 109 cases with an average gravel time (4.6 ± 2.3) minutes. The stone clearance rate was 100% after 1 to 3 months and the complication rate was 6 .0%, respectively, 2 cases of ureteral submucosal injury, perforation in 1 case, 2 cases of renal colic, infection in 2 cases. Conclusion: Transurethral ureteroscopic pneumatic lithotripsy for the treatment of ureteral calculi is safe, effective and easy to operate. It is the first choice for the treatment of lower ureteral calculi