论文部分内容阅读
目的:探讨输尿管镜气压弹道碎石联合体外冲击波碎石治疗复杂性上尿路结石的疗效。方法:回顾性分析我院2011年1月～2011年10月分别采用经输尿管镜下气压弹道碎石联合体外冲击波碎石(ESWL)治疗复杂性上尿路结石23例。结果:结石排净率为91.4%(21/23),另外2例肾结石,因结石硬度过大ESWL效果不佳,均改为PCNL术。结论:ESWL与输尿管镜下气压弹道碎石联合交替进行的疗法处理上尿路结石,扩大了ESWL治疗范围,提高了结石排净率,患者创伤微小、恢复快、并发症少,是治疗上尿路结石,特别是部分复杂性上尿路结石较理想的方法之一。
Objective: To investigate the efficacy of ureteroscopic pneumatic lithotripsy combined with extracorporeal shock wave lithotripsy in the treatment of complex upper urinary tract calculi. Methods: A retrospective analysis of our hospital from January 2011 to October 2011 were treated by ureteroscopic pneumatic lithotripsy combined with extracorporeal shock wave lithotripsy (ESWL) in the treatment of complex upper urinary tract stones in 23 cases. Results: The stone clearance rate was 91.4% (21/23). The other 2 cases of kidney stones were ineffective due to excessive hardness of stones, and were all changed to PCNL. Conclusion: ESWL and ureteroscopic pneumatic lithotripsy combined with alternating treatment of upper urinary tract stones, expanding the scope of treatment of ESWL and improve the stone removal rate, the patient trauma, rapid recovery, fewer complications, is the treatment of upper urinary Road stones, especially one of the more complex part of the upper urinary tract stones.