经输尿管镜气压弹道碎石术治疗输尿管结石的疗效观察  

Clinical effect observation of transureteroscopic pneumatic lithotripsy in treatment of ureteral calculi

作　　者：谭光忠 杨波 陈文锴 谭丹 于天银 

机构地区：[1]重钢职工总医院泌尿外科,重庆400080

出　　处：《现代医药卫生》2011年第2期207-208,共2页Journal of Modern Medicine & Health

摘　　要：目的:观察输尿管镜下气压弹道碎石治疗输尿管结石的临床效果。方法:对输尿管结石患者842例应用硬性输尿管镜、腔内气压弹道碎石机及液压灌注泵,局麻下取截石位,借助输尿管导管的引导将输尿管镜置入输尿管到达结石部位进行碎石,术后常规放置双J管。结果:842例患者中痊愈488例(58.0%)、有效320例(38.0%),总碎石成功率为96%;碎石失败34例,占4%。病例均有不同程度血尿,术后无感染、高热等并发症。结论:经输尿管镜气压弹道碎石术治疗输尿管结石具有微创、安全、效果好等优点,可作为输尿管中、下段结石的首选治疗方法。Objective：To summarize and compare the clinical effects and experience of pneumatic lithotripsy under ureteroscope for ureteral calculi.Methods：with application of stereo-ureteroscope pneumatic lithotripsy and hydraulic pump,to select lithotomy position under local anesthesia,insert the ureteroscope from external orifice of urethra into urinary bladder,along the affected ureteral orifice in virtue of ureteral catheter to insert the ureteroscope to reach the ureteral calculi site,for crashing calculi.D-J tube was conrentionally set after operation.Results：Among 842 cases of pneumatic lithotripsy under ureteroscopy for ureteral calculi,there were 488 cases of cure accounting for 58.0%,and 38 cases in line with the effective standard,accounting for 38.0%;the rate uccessful was96%.There was only one failure case（4%）.Hematuria appeared in all cases in varying degrees.There was no postoperative infection and complications such as high fever.Conclusion：Transureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi has several advantages such as minimally trauma,safty,effective ness,etc.,which can be used as the preferred treatment for the middle and lower ureteral calculi.

关 键 词：输尿管结石 输尿管镜 碎石术 

分 类 号：R6[医药卫生—外科学]