局麻下输尿管镜气压弹道碎石治疗输尿管中下段结石46例  

Ureteroscopic pneumatic ballistic lithotripsy for treatment of middle and distal ureteral calculi under local anesthesia for 46 cases

作　　者：裴向克 姜伟 刘彦斌 杨其顺 龙伟 禹猛 杨硕滨 

机构地区：[1]解放军第二八一医院泌尿外科,河北秦皇岛066100

出　　处：《临床军医杂志》2015年第11期1170-1172,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨局部麻醉下使用输尿管镜气压弹道碎石治疗输尿管中下段结石的可行性及临床价值。方法 46例输尿管中下段结石患者在尿道黏膜麻醉下行输尿管镜下气压弹道碎石术,对疼痛评分、手术耐受性、手术时间、结石清除率、术后并发症进行分析。结果本组46例患者疼痛评分全部在3分以下,手术耐受性良好,手术时间平均为(30.4±15.5)min;43例结石清除,清除率93.5%;术后均未发生严重并发症。结论局麻下对输尿管中下段结石进行输尿管镜气压弹道碎石术,方法简单、安全、可行,绝大部分情况下可以替代体外冲击波碎石及传统开放手术取石。Objective To investigate the feasibility and clinical value of ureteoscopic pneumatic ballistic lithotripsy for treatment of middle and distal ureteral calculi under local anesthesia. Methods Totally 46 cases of middle and distal ureteral calculi patients un-derwent ureteroscopic pneumatic ballistic lithotripsy under urethral mucosal anesthesia. The pain score,operation tolerance,operation time,calculi clearance rate and postoperative complications were analyzed. Results Tolerance to operation was good and pain score was under 3 in all 46 cases. Operation time was（30. 4 ＆#177; 15. 5）minutes at average. Forty-three cases succeeded in lithothrypsis with the clearance ratio of 93. 5%. No severe complications happened after operation. Conclusion It is simple,safe and feasible to treat pa-tients with middle and distal ureteral calculi by ureteoscopic pneumatic ballistic lithotripsy under local anesthesia. In most cases,it can replace extracorporeal shock wave lithotripsy and convertional surgery via open approach.

关 键 词：输尿管中下段结石 输尿管镜气压弹道碎石 局部麻醉 

分 类 号：R693.4[医药卫生—泌尿科学]