输尿管镜下气压弹道碎石术治疗输尿管结石126例分析  

Transureteroscopic pneumatic lithotripsy (a report of 126 cases)

作　　者：陈祥鹏[1] 王庭镇[1] 袁树森[1] 李迎东[1] 朱传明[1] 潘涟春[1] 

机构地区：[1]广东省潮州市中心医院泌尿外科,521000

出　　处：《广州医药》2004年第1期32-34,共3页Guangzhou Medical Journal

摘　　要：目的　总结应用输尿管镜气压弹道碎石术治疗输尿管结石方法及并发症的预防。方法　 12 6例输尿管结石患者采用输尿管镜下气压弹道碎治疗。结石位于左侧 6 9例 ,右侧 4 3例 ,双侧 14例。位于上段 9例 ,中段 2 6例 ,下段 10 5例。结石横径 4～ 11mm ,纵径 6～ 2 0mm。结果　输尿管镜下 1次碎石成功 112例 ,成功率达 89%(112 / 12 6 )。 2天～ 6周内碎石全部排净。发生并发症 8例 ,其中穿孔 6例 ,采取保守治疗 4例 ,开放手术治疗 2例 ;泌尿系感染 2例。Objective To evaluate transureteroscopic pneumatic lithotripsy for the treatment of ureteral stones and to discuss the prevention of comlication. Methods Transureteroscopic pneumatic lithotripsy was undertaken in 126 cases of ureteral stones.74 male cases and 52 female cases with average age of 46 years.Left 69 cases,right 43 cases and double 14 cases;there were 9 upper ureteral stones,26 middle and 105 lower ureteral stones.The transverse diameter of the stones was 4-11mm and the vertical diameter length was 6-20mm. Results Successful lithotripsy was achieved on one session in 12 cases (89%),the stones were completely passaged in 2 days to 6weeks.Complications happened in 8 cases,perforation was in 6 cases and 4 cases were cured by conservative methods,the other 2 cases were cured by operation;2 cases were urinary infection. Conclusion Transureteroscopic pneumatic lithotripsy was an effective and safe means for the treatment of ureteral stones.

关 键 词：输尿管镜 气压弹道碎石术 手术治疗 输尿管结石 手术并发症 

分 类 号：R693.4[医药卫生—泌尿科学]