输尿管肾镜气压弹道碎石术治疗泌尿系结石121例体会  

Pneumatic lithotripsy for the treatment of urothiasis (report of 121 cases)

作　　者：方文年 

机构地区：[1]安庆市第二人民医院外科,246004

出　　处：《安徽医学》2004年第4期293-294,共2页Anhui Medical Journal

摘　　要：目的　评价输尿管肾镜气压弹道碎石术治疗泌尿系结石疗效。方法　输尿管肾镜气压弹道碎石术治疗泌尿系结石 12 1例。患者平均年龄 40岁。肾结石 10例 ,输尿管上中下段结石分别 3 0例、3 5例和 41例 ,膀胱结石 4例 ,后尿道结石 1例。结果　全组平均手术时间 43分 ,原位碎石率 10 0 .0 %。结石上移率 2 .6%。 5例碎石不全者 1例改开放手术取石 ,4例术后行ESWL治疗。开放中转手术 6例。未发生手术并发症。 10 1例随访 1～ 12个月 ,结石排尽率 97.0 %。结论　输尿管结石、膀胱结石和后尿道结石是输尿管肾镜气压弹道碎石术的绝对适应证。对于肾结石可依据影像资料选择性地进行碎石治疗。输尿管肾镜到达结石部位时应下调液体灌注压力 。Objective To evaluate the efficacy of pneumatic lithotripsy for urolithiasis.Methods Pneumatic lithotripsy was conducted for 121 cases of urolithiasis with the average of ureteral and 41 lower ureteral stone,4 urinary bladder stone,1 posterior ureteral stone.Rsults The average operation time was 43 min and the fragmentation in situ 100.0%.The stone upward displacement rate was 2.6%.Fragmentation of the stone has been incomplete in 5 cases,1 case was treated with lithotomy and the other 4 cases received ESWL after pneumatic lithotripsy.6 cases were lithotomied.There was no case of complications.101 patients have been followed upl-12 months and the stone clearance rate was 97.0%.Conclusions The ureteral stone,urinarybladder and posterior ureteral stone can be completely treated weth pneumatic lithotripsy,The renal stone may be treated with lithotripsy according to documents of imageology.When the ureterorenaloscopy arrives at the level of stone,the instillation pressure should be lowered in order to decrease the stone.upward displacement rate.The success of operation depends on the location of the ureterorenaloscopy and the skill of litholapaxy.

关 键 词：输尿管肾镜气压弹道碎石术 治疗 泌尿系结石 肾结石 

分 类 号：R699[医药卫生—泌尿科学]