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目的 :探讨腔内治疗输尿管结石的应用。方法 :运用气压弹道碎石机及输尿管镜治疗输尿管结石 10 2例 ,其中 40例合并膀胱颈后唇抬高 ,占 39.2 %。结果 :1次碎石成功率 88.2 3% ,手术时间 40 .5± 2 1.35min ,术中并发症为 2 .94%。 1例输尿管中下段套脱离断行回肠代部份输尿管。下段结石中 ,2例致膀胱穿孔液体外渗、2例因开口狭窄或闭塞改开放手术。 3例中段结石因严重肉芽炎狭窄开放取石 ,1例中段结石和 3例上段结石退回肾脏 ,改ESWL或开放取石。结论 :运用经尿道输尿管镜气压弹道碎石术治疗输尿管结石 ,具有安全、微创、碎石效率高的优点 ,值得基层医院推广。
Objective: To explore the application of endovascular treatment of ureteral calculi. Methods: Pneumatic lithotripsy and ureteroscopy were used to treat 102 cases of ureteral calculi, of which 40 cases posterior lip of the bladder neck was elevated, accounting for 39.2%. Results: The success rate of first gravel was 88.2%, the operation time was 40.5 ± 2.35 minutes, and the intraoperative complication was 2.94%. One case of ureter in the lower part of off the broken line ileum on behalf of part of the ureter. Lower stones, 2 cases of bladder perforation fluid extravasation, 2 cases due to open stenosis or occlusion changed to open surgery. Three cases of middle stone due to severe granulomatous stenosis open stone, 1 case of middle stone and 3 cases of upper stones returned to the kidney, change ESWL or open stone. Conclusion: Transurethral ureteroscopic pneumatic lithotripsy for the treatment of ureteral calculi has the advantages of safety, minimally invasive and high lithotripsy efficiency, which is worth promoting in primary hospitals.