上尿路结石三种微创治疗方法的探讨(附160例报告)  

Treatment of upper urinary stone by minimally invasive methods

作　　者：何炜[1] 项立波[1] 刘军[1] 陈兵[1] 刘云峰[1] 

机构地区：[1]巢湖市第二人民医院泌尿外科,238000

出　　处：《安徽医学》2009年第1期71-72,共2页Anhui Medical Journal

摘　　要：目的探讨上尿路结石的微创治疗方法及其临床意义并进行比较。方法对2006年-2008年我科上尿路结石病人160例进行分析。结果本组中肾结石38例,输尿管结石108例,肾结石合并输尿管结石14例。在输尿管结石中,上段结石37例,中段结石21例,下段结石50例。治疗:ESWL术135例,输尿管镜下气压弹道碎石术54例,微创经皮肾穿刺输尿管镜下气压弹道碎石术18例。结论尽管上尿路结石开放手术开展普遍,但ESWL术及微创手术将逐渐成为一种主要的治疗方法,根据结石的大小,位置选择不同的微创治疗方法,均可取得良好的治疗效果。Objective To study and to compare the minimally invasive treatment and the clinical significance of urinary stones . Methods Data of 160 impatients with upper urinary stones from 2006 to 2008 in our department had been analysed. Results There were 38 cases of renal stone ,108 cases of ureteral stone and 14 cases of renal and ureteral stone. 108 cases of ureteral stone include 37 cases of upper ureteral stone,21 cases of middle ureteral stone and 50 cases of lower ureteral stone. 135 cases had been treated by ESWL, 54 cases of urcteral stone by ureteroscopy and pneumatic litbotripsy,18 cases by minimally invasive percumatic nephrolithotomy. Conclusions Although open operation has been widely used,ESWL and microtraumatic operation is more effective therapy.To choose different microtraumatic treatment can receive good therapeutic effect according to the size and location of urinary stones .

关 键 词：上尿路结石 治疗 气压弹道碎石术. 

分 类 号：R699[医药卫生—泌尿科学]