输尿管镜下气压弹道碎石术治疗输尿管结石75例  

Treatment of ureter stones with ureteroscope pneumatic lithotripst

作　　者：任春凯[1] 杨登伦[1] 乙从亮[1] 余秋健[1] 唐喆[1] 陈令秋[1] 

机构地区：[1]安徽省淮北市人民医院泌尿外科,安徽淮北235000

出　　处：《安徽医药》2010年第4期428-429,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的总结提高经尿道输尿管镜气压弹道碎石术治疗输尿管结石水平。方法采用输尿管镜下弹道碎石术治疗输尿管结石患者75例临床资料进行分析。结果75例中一次性碎石成功率68例,占90.7%,碎石失败率7例,占9.3%,其中2例输尿管上段结石移位至肾盂,留置双J管后行ESWL治愈,3例因结石下方输尿管严重扭曲,1例因输尿管穿孔,1例因息肉出血,影响视野,行开放手术治疗。结论输尿管镜气压弹道碎石术治疗输尿管结石成功率高,安全可靠,可作为治疗男性输尿管中下段结石和女性全程结石首选方法。Aim To improve swiss lithoclast pneumatic lithotriptor in the endoscopic management of ureterolithiasis. Methods 75 patients with ureter olithiasis were treated with the above-mentioned lithotriptor. Results 90.7% （68/75） stones were fragmented in one treatment session. The failure rate is 9.3% （7/75）, in two of which stones moved up into the pelvis, then the DJ tube was put in and ESWL was used. Five of them were operated on due to three cases of a serious twisty ureters below the stones, one case of ureteral perforation and one case of bleeding polypus affecting vision. Conclusions Treatment of urinary calculi with this method has been safe,effective and less invasive. It is the best choice for male patients with mild and distal ureteric calculi and female patients with whole ureteric calculi.

关 键 词：输尿管结石 输尿管镜 碎石术 

分 类 号：R699[医药卫生—泌尿科学]