摘要
目的探讨输尿管镜气压弹道碎石治疗输尿管结石的疗效。方法2002年5月～2005年5月，我院采用Wolf F8/9.8硬性输尿管镜和气压弹道碎石术治疗输尿管结石154例。结果154例输尿管结石中，141例治疗成功，成功率91．6％（141／154），上段、中段、下段输尿管结石的治疗成功率分别为60．0％（12／20）、93．3％（42／45）和97．8％（87／89），术中并发症发生率2．6％（4／154），其中黏膜下假道和输尿管穿孔各2例，均放置双J管引流治愈。术后1个月无石率为95．7％（135／141）。125例随访3～6个月，平均4．2月，无复发及输尿管狭窄。结论输尿管镜气压弹道碎石治疗输尿管结石安全、微创、效果确切，是治疗输尿管中下段结石的首选方法。
Objective To evaluate clinical effects of ureteroscopic pneumatic ballistic lithotripsy for the treatment of ureteral stones. Methods A total of 154 cases of ureteral stones were treated with pneumatic ballistic lithotripsy under a Wolf F8/9.8 rigid ureteroscope between May 2002 and May 2005 in this hospital. Results Among the 154 cases, 141 cases were treated successfully, the success rate being 91.6% （141/154）. The success rate for upper, middle, and lower ureteral stones was 60.0% （12/20）, 93.3% （42/45） , and 97.8% （87/89） , respectively. The incidence of intraoperative complications was 2.6% （4/154） , including 2 cases of urethral submucosal false passage and 2 cases of ureteral perforation, respectively, which were cured with double-J catheter placement and drainage. The stone-free rate 1 month after operation was 95.7% （ 135/141 ）. Follow-up observations in 125 cases for 3 -6 months （mean, 4.2 months） revealed no recurrence or ureteral stricture. Conclusions Treatment of ureteral stones with ureteroscopic pneumatic ballistic lithotripsy is safe, minimally invasive, and effective. It should be the first choice of treatment for middle and lower ureteral stones.
出处
《中国微创外科杂志》
CSCD
2006年第8期602-603,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
输尿管镜
气压弹道碎石
输尿管结石
Ureteroscope
Pneumatic ballistic lithotripsy
Ureteral calculus
