输尿管镜下气压弹道碎石术治疗复杂尿道结石(附24例报告)  

The treatment of complex urethral calculi with ballistic lithotripsy under ureteropyeloscopy (report of 24 cases)

作　　者：陈耀武[1] 夏术阶[2] 凌桂明[2] 叶华春[1] 舒畅[1] 李爱华[1] 曾志[1] 王原[1] 周青[1] 邹政[1] 

机构地区：[1]上海交通大学附属第一人民医院宝山分院泌尿外科,上海200940 [2]上海交通大学附属第一人民医院泌尿外科,上海200080

出　　处：《现代泌尿外科杂志》2005年第4期202-203,共2页Journal of Modern Urology

摘　　要：目的探讨复杂性尿道结石的最佳治疗方法.方珐总结从1999年到2004年收治的24例复杂尿道结石,在局麻下采用输尿管镜下气压弹道碎石术治疗的疗效.结果24例尿道结石患者全部一次治愈,排尿困难或急性尿潴留得以解除,无明显短期并发症,术后1～3 d出院.术后随访3个月～5年,复查无术后尿道狭窄发生.结论输尿管镜下气压弹道碎石术治疗尿道结石能一期击碎并排净结石,解除尿路梗阻,操作简便,对尿道损伤小,术后并发症少,恢复快,是一种较好的治疗尿道结石的方法.Objective To investigate the optimal treatment for complex calculus of urethra. Methods Data of 24 patients with urethral calculi who were treated in our hospital during 1999-2004 have been studied. With local anaesthesia all patients were treated with ballistic lithotripsy under ureteropyeloscopy. Results The 24 cases were treated successfully and dysuria or AUR disappeared. No serious complication occurred and all the patients left hospital 1～3 days after the opereation. There weren't dysuria in the follow-up examination after three months. Conclusion Ballistic lithotripsy under ureteropyeloscopy is a simple treatment for urethlal calculi with AUR. There is few complication and less damage.

关 键 词：尿道结石 碎石术 

分 类 号：R691.4[医药卫生—泌尿科学]