摘要
目的 探讨输尿管镜气压弹道碎石治疗泌尿系结石的疗效。方法 从2000年10月至2003年10月,应用输尿管镜气压弹道碎石治疗泌尿系结石148例,其中输尿管结石126例,膀胱结石17例,尿道结石5例。结果 其中输尿管结石一次性结石粉碎率90.5％;8例输尿管结石因结石上移至肾盂放置双J管,术后行ESWL碎石成功;4例因输尿管狭窄改开放手术,膀胱结石、尿道结石均成功粉碎。结论 此碎石方法成功率高,尤其对输尿管下段结石、膀胱结石、尿道结石效果确切,损伤小;如与ESWL治疗方法结合,疗效更佳。
Objective To assess the clinical application of the pneumatic lithotriptor in the endoscopic treatment with
urinary calculi. Methods From Oct 2000 to Oct 2003, 148 cases with urinary calculi were treated with the above--mentioned
lithotriptor, including 126 cases with stone in ureter, 17 cases in bladder and 5 cases in urethera. Results In the ureter--stone
cases, 90. 5% (114/126) were fragmented in one--treatment session. 8 cases were placed pigtail duct because of stone migration,
the stones were fragmented by ESWL post operation. 4 cases converted to open lithotomy due to ureterostenosis. All the stones
in bladder and urethera were fragmented successfully. Conclusion Treatment of urinary calculi with this method has been
more successful,effective and less invasive, especially for distal ureter stone,bladder stone and urethera stone. The result would
be better if the method is used combined with ESWL.
出处
《福建医药杂志》
CAS
2004年第1期17-18,共2页
Fujian Medical Journal
