气压弹道碎石术治疗输尿管上段结石173例临床分析  

Experience of Ureteroscopic Pneumatic Lithotripsy to Upper Ureteral Calculi

作　　者：左玉良[1] 王朝明[1] 滕兰克 王晓龙[1] 杨旭东[1] 王宽[1] 

机构地区：[1]河南科技大学附属黄河医院,河南三门峡472000

出　　处：《河南科技大学学报（医学版）》2014年第3期184-185,共2页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的总结输尿管镜下气压弹道碎石术治疗输尿管上段结石的经验。方法采用输尿管镜下气压弹道碎石术治疗输尿管上段结石173例,术中留置双J管。结果输尿管结石完全击碎123例(71.1%),输尿管镜未到达结石部位19例(11%),整块结石或大块残石冲入肾脏31例(17.9%)。全部手术无输尿管穿孔、断裂、撕脱及膀胱穿孔等严重并发症发生。结论输尿管镜下气压弹道碎石术治疗输尿管上段结石,因其操作简单、损伤小、并发症少、可重复性强,仍可作为治疗输尿管上段结石的一种方法。Objective To summarize the experience of ureteroscopic pneumatic lithotripsy on thetreatmeat of upper ureteral calculi. Methods 173 cases of upper ureteral calculi were treated withureteroscopic pneumatic lithotripsy,double-J catheter was retained in the operation. Results 123 cases ofureteral calculi were completely fragmented （71.1%）,ureteroscopic did not reach the stone location in 19cases（1 1%）,the whole stone or large stone was pushed back to kidney in 31 cases（17.9%）.All operationswithout ureteral perforation,fracture,avulsion,bladder perforation and other serious complications occurred.Conclusion Ureteroscopic pneumatic lithotripsy to the treatment of upper ureteral calculi is effective withless complications and safety.It still can be used for treatment for upper ureteral calculi.

关 键 词：输尿管上段结石 气压弹道碎石术 输尿管镜 

分 类 号：R693.4[医药卫生—泌尿科学]