论文部分内容阅读
目的:探讨输尿管镜下气压弹道碎石术治疗泌尿系结石的效果。方法:采用输尿管镜下气压弹道碎石术治疗泌尿系结石患者460例,其中输尿管结石372例,膀胱结石78例,尿道结石10例。结果:输尿管结石一次完全击碎315例,占84.7%,输尿管镜未到达结石部位30例,占8.1%,整块结石或大块残石冲入肾脏27例,占7.2%。膀胱及尿道结石均一次粉碎成功。术后体温>38℃19例,对症治疗后痊愈。无输尿管穿孔、断裂、撕脱及膀胱穿孔等严重并发症发生。结论:输尿管镜下气压弹道碎石术治疗泌尿系结石疗效确切,并发症少,安全可靠,可作为输尿管中下段结石、长径<3 cm膀胱结石及尿道结石首选治疗方法。
Objective: To evaluate the effect of ureteroscopic pneumatic lithotripsy on urinary calculi. Methods: 460 cases of urolithiasis were treated by ureteroscopic pneumatic lithotripsy, including 372 ureteral calculi, 78 bladder stones and 10 urethral stones. Results: A total of 315 ureteral stones were crushed in one time, accounting for 84.7%. Ureteroscopy did not reach the stone site in 30 cases, accounting for 8.1%. A total of 27 stones (7.2%) were stained with massive stones or massive residual stones. Bladder and urethral stones were smashed a success. Postoperative body temperature> 38 ℃ 19 cases, cured after symptomatic treatment. No ureter perforation, rupture, avulsion and bladder perforation and other serious complications. Conclusions: Ureteroscopic pneumatic lithotripsy is effective in treating urolithiasis with few complications and is safe and reliable. It can be used as the first choice for the treatment of lower ureteral calculi, long diameter <3 cm bladder stones and urethral calculi.