输尿管镜下气压弹道碎石治疗输尿管结石临床观察.docVIP

输尿管镜下气压弹道碎石治疗输尿管结石临床观察 　　【摘要】目的：观察输尿管镜下行气压弹道碎石术治疗输尿管结石的临床疗效。方法：回顾性分析行输尿管镜下气压弹道碎石术（USRL）518例患者，共存在568侧输尿管结石，统计所有患者治疗成功率并研究预防策略。结果：518例患者共568侧输尿管结石，治疗成功503侧（88.56%），输尿管镜手术失败改行开放取石18例（3.47%），单纯置管引流47例（9.07%）；术后并发症发生40例（7.72%），其中上段输尿管结石成功111例（75.00%），中段成功175例（90.20%），下段成功例217例（96.02%），上段输尿管结石治疗成功率与中下段比较差异具有统计学意义（P0.05）。结论：USRL治疗输尿管结石具有较高的临床疗效，可作为输尿管结石的临床首选疗法，但对于输尿管上、中、下段结石治疗效果存在差异，在行输尿管上段结石手术治疗时应谨慎选择该方案。 　　【关键词】输尿管镜；气压弹道碎石；输尿管结石 　　【中图分类号】R693+.4【文献标志码】 A【文章编号】1007-8517（2015）10-0078-02 　　Exploring clinical study of pneumatic lithotripsy under ureteroscope on ureteral calculi 　　LIANG DuoLIANG HualiangLU RongsenHUANG FangweiHUANG GuanglongYANG DafuHUANG Huo 　　Xinyi People’s Hospital Urology Surgery，Xinyi 525300，China 　　Abstract：[WTHZ]Objective[WTBZ] To investigate the clinical effect of transureteroscopic pneumatic lithotripsy on treating ureteral calculi. [WTHZ]Methods [WTBZ]Retrospective analyzed 518 ureteroscopic pneumatic lithotripsy （USRL） patients ， there were 568 sides of ureteral stones in all patients， counted treatment success rate and studied prevention strategies. [WTHZ]Results [WTBZ]There were 568 ureteral stones in 518 cases of ureteral calculi patients， the success case was 503ureteral （88.56%）， 18 cases underwent open ureterolithotomy failure used ureteroscopy operation（3.47%），47 cases simple drainage （9.07%）； 40 cases complications （7.72%）.There were 111 success cases（75.00%）of epimere ureteral calculi，175 success cases （90.20%） of middle ureteral calculi，217 success cases（96.02%） of lower ureteral calculi，comparison between two groups data had the remarkable difference， P0.05， with statistical significance. [WTHZ]Conclusion [WTBZ]The clinical efficacy of USRL in treating ureteral calculi is higher， it can be used as the preferred clinical therapy of ureteral calculi， but there is difference between upper ，middle and lower ureter calculi treatment effect，we should be cautious when choosing operation scheme of upper ureteral calculi operation . 　　K