输尿管镜下气压弹道碎石术的临床应用  

Clinical application of pneumatic lithotripsy under ureteroscope

作　　者：辛军[1] 庄建良[1] 黄书堤[1] 辛明华[1] 白寒[2] 蔡经爽[1] 于立新[2] 陈迦南[1] 

机构地区：[1]福建省泉州市第一医院泌尿外科 [2]广州第一军医大学南方医院,广州510515

出　　处：《中国微创外科杂志》2004年第2期102-103,共2页Chinese Journal of Minimally Invasive Surgery

基　　金：福建省泉州市 2 0 0 2年度科技项目Z2 0 0 2 2 5

摘　　要：目的　探讨经尿道输尿管镜下气压弹道碎石术治疗输尿管结石的价值。　方法　回顾分析输尿管镜下气压弹道碎石术治疗输尿管结石 36 0例的临床资料。　结果　一次碎石成功率 85 % (30 6 /36 0 ) ,并发症发生率 2 5 % (9/36 0 ) ,其中输尿管穿孔 6例 ,泌尿系感染 3例。　结论　输尿管镜下气压弹道碎石术疗效确切 ,创伤小 ,安全性高。Objective To explore the value of pneumatic lithotripsy under ureteroscope in the management of ureteral calculus . Methods The clinical data of 360 cases of ureteral stones treated ureteroscopically by pneumatic lithotripsy were retrospectively analyzed. Results Stones were successfully fragmented on one session in 85% of the cases (306/360). Complications were observed in 2 5% of the cases (9/360), including 6 cases of ureteral perforation and 3 cases of urinary infection. Conclusions Pneumatic lithotripsy under ureteroscope is safe, effective and minimally invasive.

关 键 词：气压弹道碎石术 手术治疗 临床研究 输尿管镜 

分 类 号：R699.4[医药卫生—泌尿科学]