输尿管镜下气压弹道碎石术治疗输尿管结石228例报告  

Ureteroscopic ballistic lithotripsy under pressure for the treatment of ureteral calculi reported 228 cases

作　　者：龙家才 李昕[1] 罗兵[1] 李炜[1] 朱科[1] 刘三荣[1] 彭彬[2] 

机构地区：[1]巴中市中心医院泌尿外科,四川巴中636000 [2]川北医学院细胞化学研究室,四川南充637007

出　　处：《川北医学院学报》2012年第5期460-463,共4页Journal of North Sichuan Medical College

基　　金：四川省教育厅项目(10ZA176)

摘　　要：目的:探讨输尿管镜下气压弹道碎石术治疗输尿管结石的方法、并发症的防治及临床应用价值。方法:采用输尿管镜下气压弹道碎石术治疗输尿管结石患者228例。结果:228例患者中插管成功率98%(223/228),216例1次碎石成功,成功率94.7%(216/228),并发症3.9%(9/228),其中输尿管穿孔3例,泌尿系感染4例,2例中转开放手术。结论:输尿管镜下气压弹道碎石术治疗输尿管结石微创、安全、可靠,对组织损伤小,术后恢复快,如与体外冲击波碎石术(extracorporealshock wave lithotripsy,ESWL)等体外碎石方法结合应用疗效更佳。Objective：To study the therapeutic effect of atmospheric pressure ballistic lithotripsy in the treatment of ureteral calculi methods, prevention and curing complications and clinical application value. Methods： The ureteroseopic ballistic lithotripsy under pressure for the treatment of ureteral calculi in 228 cases. Results： 228 patients of successful intubation in 98% （223/228）, and 216 cases of a gravel success, the successful rate was 94.7% （216/228）, 3.9% （9/228） complications, with a ureteral perforation in 3, urinary tract infection in 4, 2 eases were transfered to open surgery. Conclusion ：The ureteral pressure under ballistic lithotripsy for the treatment of ureteral calculi minimally invasive, safe, reliable, to tissue damage small, postoperative recover quickly, such as and ES- WL in rubble method and combining with the application effect is better.

关 键 词：输尿管镜 输尿管结石 气压弹道碎石 

分 类 号：R699.4[医药卫生—泌尿科学]