输尿管硬镜气压弹道碎石术治疗输尿管结石（附.pdf

实用中西医结合临床 2004 年 12 月第 4 卷第 6 期 ·9 · 输尿管硬镜气压弹道碎石术治疗输尿管结石 112 （附 例报告） 钟德平 陆金华 （江西省上饶市人民医院 上饶 334000 ） 摘要：目的：探讨输尿管镜气压弹道碎石术治疗输尿管结石的疗效。方法：对112 例输尿管结石患者采用输尿管镜气压弹道碎 112 104 92.9% 8 7.1 % 4 石术治疗。结果： 例中，一次性碎石成功 例，占 。碎石失败 例，占 ，其中 例输尿管上段结石移位至肾盂，留置 J ESWL 2 2 双 管后行 治愈；另外 例输尿管穿孔和 例进镜失败患者均立即改行开放手术治愈。结论：输尿管镜气压弹道碎石术是 治疗输尿管结石的一种安全、疗效确切和微创的方法。 关键词：输尿管结石；输尿管硬镜；气压弹道；碎石术 遭泽贼则葬糟贼 粤 ：Objective: To evaluate transureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods: 112 cases of ureteral calculi were treated with ureteroscopic pneumatic lithotripsy .Results: 112 cases of ureteral stones were treated by ureteroscopic lithotripsy, of which 94.6%(106/112)were fragmented on the first treatment session and 7.1%(8/112)were unsuccessful . 4 case of the proximal ureteral calculi were moved to rend pelvic and cured by ESWL after the double —Jureteral sent was placed. Open surgery was the choice after the ureteral perforation in 2 cases and the failure of inserting the ureteroscope in 2 cases. Conclusions: Treatment of ureteral calcali by transureteroscopic pneumatic lithotripsy bas been safe , effective and less invasive . 运藻赠憎燥则凿泽: Ureteral calculus ; Ureteroscopy ; Lithotripsy + R 693. 4 B 167104040(2004)060 0009002 中图分类号： 文献标识码： 文献编号： 我院 2002 年 8 月 ~2004 年 8 月应用输尿管硬镜气压 术后均应用抗生素及对症治疗后痊愈。 弹道碎石术治疗输尿管结石患者 112 例，取得满意的临床效 3 讨论 果。 现报告如下：