输尿管镜气压弹道碎石术治疗体外冲击波碎石失败输尿管膀胱壁段结石126例  

URETEROSCOPIC PNEUMATIC BALLISTIC LITHOTRIPSY TREATING 126 CASES URETEROVESICAL JUNCTION CALCULI AFTER THE FAILURE OF USING EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY

作　　者：王光 陈美凤 黄承智 陈连清 

机构地区：[1]湛江市第一中医医院,广东湛江524034

出　　处：《现代医院》2013年第11期52-54,共3页Modern Hospitals

摘　　要：目的探讨应用体外冲击波碎石(ESWL)失败的输尿管膀胱壁段结石患者应用输尿管镜气压弹道碎石术(URS+PL)治疗的临床疗效。方法对收治的126例采用URS+PL治疗ESWL失败的输尿管膀胱壁段结石患者的临床资料进行回顾性分析。结果术后经复查腹部平片及静脉肾盂造影检查显示,手术取石共成功110例,成功率为87.30%;而在手术后2个月复查腹部平片及静脉肾盂造影显示结石排净者118例,成功率为93.65%。所有126例患者在为期6个月的随访过程中,失访48例,成功完成随访78例,所有接受随访的患者均未出现手术后并发症。结论 URS+PL治疗ESWL失败的输尿管膀胱壁段结石效果显著,并发症发生率低。Objective To explore the clinical curative effect of semirigid and flexible ureteroscopy and pneumatic ballistic lithotripsy （ URS ＋ PL） treatment for the patients with ureterovesical junction calculi after the failure of using extracorporeal shock wave lithotripsy （ ESWL）. Methods Retrospectively analyze the clinical data of 126 uret- erovesical junction calculi patients which were treated with URS ＋ PL after the failure of using ESWL in our hospital. And analyze the effect of using URS ＋ PL. Results The plain abdominal radiograph and intravenous pyelography after operation show that, 110 cases were successful operation, accounted for 87.30%. 2 months after operation, the plain abdominal radiograph and intravenous pyelography after operation show that, 118 eases were complete stone clear- ance, accounted for 93.65%. During the follow -up period of 6months, 48 cases were lost,78 cases were successful- ly followed - up. All the follow - up patients had no complications undergoing. Conclusion There has significantly effect and low rate of complications of using URS ＋ PL treatment for the patients with ureterovesical junction calculi after the failure of using ESWL.

关 键 词：输尿管镜气压弹道碎石术 体外冲击波碎石 输尿管膀胱壁段 

分 类 号：R693.4[医药卫生—泌尿科学]