摘要
目的探讨输尿管镜气压弹道碎石治疗输尿管结石的效果。方法2004年2月～2005年3月，我们对185例输尿管结石（其中伴肾绞痛96例）采用输尿管镜取石或气压弹道碎石进行总结和分析。结果失败12例，其中6例改开放手术，6例术后3d行体外冲击波碎石。一次碎石成功率93．5％（173／185），其中上段结石为75．0％（24／32），中段为95．8％（46／48），下段为98．1％（103／105）。肾绞痛者成功率为100％（96／96）。术中输尿管损伤率2．9％（5／173），其中3例（1．7％）中转开放手术。术后肾绞痛1例。全组随访6～12个月，平均10．2月，无复发。结论输尿管镜气压弹道碎石安全有效，并发症少，是治疗输尿管中下段结石的首选方法，尤其对肾绞痛者疗效更好。
Objective To evaluate the clinical effectiveness of ureteroscopic pneumatic ballistic lithotripsy for the treatment of ureteral stones. Methods A total of 185 patients with ureteral stones （accompanying renal colic in 96 patients） were treated with ureteroscopic pneumatic ballistic lithotripsy from February 2004 to March 2005 in this hospital. Results The procedure failed in 12 patients, including conversions to open surgery in 6 patients and to extracorporeal shock wave lithotripsy 3 days later in 6 patients. The single-session success rate was 93.5% （173/185）, and was 75.0% （24/32） in the upper segment, 95.8% （46/48） in the middle segment, and 98.1% （103/105） in the lower segment. The success rate in patients with renal colic was 100% （96/96）. The rate of intraoperative ureteral injury was 2.9% （5/173）, with conversions to open surgery required in 3 patients （1.7%）. Postoperative renal colic occurred in 1 patient. Follow-up checkups in all the patients for 6～12 months （mean, 10.2 months） showed no recurrence. Conclusions Ureteroscopic pneumatic ballistic lithotripsy is safe and effective, being the first choice for patients with middle or lower ureteral stones, especially accompanying renal colic.
出处
《中国微创外科杂志》
CSCD
2006年第9期701-702,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
输尿管结石
输尿管镜
气压弹道碎石
Ureteral Calculus
Ureteroscope
Pneumatic ballistic lithotripsy
