About 320 cases of ureteroscopic pneumatic lithotripsy（对320例ureteroscopic气动碎石术）.docVIP

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About 320 cases of ureteroscopic pneumatic lithotripsy（对320例ureteroscopic气动碎石术）.doc

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About 320 cases of ureteroscopic pneumatic lithotripsy（对320例ureteroscopic气动碎石术）

About 320 cases of ureteroscopic pneumatic lithotripsy Author: Rensheng Jiang Wu Xuming Fang Jianjun [Keywords] urinary stones Keywords: urinary stones; Endoscopic surgery; lithotripsy 0 Introduction Urinary calculi is a common disease of Urology [1-3], 1997-2002 05 / 2001-04 Division I-320 cases of ureteroscopic pneumatic lithotripsy in the diagnosis and treatment of patients with urinary stones, and achieved satisfactory effect. 1 objects and methods 1.1 Object of urinary stone patients and 320 (male 197, female 123 cases, aged 6 to 65 years of age. 276 cases of ureteral stones, of which 34 cases the previous paragraph, the middle of the 49 cases, under paragraph 193 cases; stone size 0.5cm ?0.4cm ~ 1.0cm ?2.1cm, of which 26 cases had line ESWL2 times failed, due to difficulties the postural or stones reason ESWL positioning 21 cases, 18 cases of negative stones ureteral stones and acute renal colic 44 cases in which the urethra impacted stones and urinary retention in 25 cases, double side ureteral stones and acute renal failure and anuria 19 cases underwent preoperative B-ultrasound, intravenous urography, some retrograde pyelography or CT scan to confirm the diagnosis by STORZ the F8 F12.5 or WOLF F8/9.8, ureteroscopy Swiss EMS pneumatic lithotripsy machine. 1.2 Methods table linen, spinal anesthesia, hard anesthesia or spinal anesthesia + hard hemp under lithotomy position, the male lower ureteroscope through the urethra into the bladder, the guide wire is inserted into the ureter to the renal pelvis under direct vision, microcomputer automatic hydraulic pump perfusion along the guide wire under mirror directly into ureteroscopy expansion of the front bezel. stones approach: 0.5cm stones, stone foreign body forceps; greater than 0.8cm rough irregular stones, 1.0mm pneumatic ballistic probe crushed stone to less than 2mm, if necessary, and then take a chunk of stone. the urethra bladder stones with ureteroscope pneumatic lithotripsy under