输尿管气压弹道碎石术联合ESWL治疗输尿管上段结石68例  

Combination of pneumatic impactor lithotripsy and ESWL in the treatment of upper ureteral calculi:report of 68 cases

作　　者：蔡伟飞[1] 胡毅[1] 陈中良[1] 

机构地区：[1]中山大学附属东华医院,广东东莞523110

出　　处：《临床医学》2007年第7期10-11,共2页Clinical Medicine

摘　　要：目的探讨输尿管镜气压弹道碎石术联合体外冲击波碎石术(ESWL)治疗输尿管上段结石的疗效。方法应用输尿管镜气压弹道碎石术联合ESWL治疗输尿管上段结石68例并观察疗效。结果68例输尿管上段结石患者中,1次碎石成功率为73.5%(50/68),联合治疗总成功率为92.6%(63/68),5例碎石失败。结论采用此联合治疗的方法具有成功率高、损伤小、易操作等优点,是治疗输尿管上段结石较满意的治疗方法。Objective To investigate the clinical effect of combination of pneumatic impactor lithotripsy and extraporeal shock wave lithotripsy ESWL in upper ureteral calculi. Methods Sixty - eight cases of upper ureteral calculi were treated with combination of pneumatic impactor lithotripsy and ESWL. Results Sixty - eight cases of them were treated successfully by pneumatic lithotripsy with the cure rate of 73.5% ,and the total rate of cure by the joint method was 92. 6%. Five cases failed because of constricted ureter or distorted ureter. Conclusion Treatment of upper ureteral calculi with this combined methods should be a good model of lithotripsy,with the advantages of high efficiency and less invasive and simple managements as well.

关 键 词：输尿管结石 气压弹道碎石术 输尿管镜 体外震波碎石术 

分 类 号：R699[医药卫生—泌尿科学]