摘要
目的探讨输尿管镜气压弹道碎石术治疗各段输尿管结石的疗效。方法回顾性分析我院2004年1月至2010年1月应用输尿管镜气压弹道碎石术治疗的317例单纯输尿管结石患者的临床资料。结果一次性碎石成功率89.97%(296/329),术中并发症发生率1.22%(4/329),碎石成功患者术后结石排净率97.30%(288/296)。结石横径≤1cm和>1cm两个亚组在碎石成功率、术后1个月无石率方面差异比较均无统计学意义(P>0.05);术中并发症方面,输尿管上段结石>1cm组高于≤1cm组(P<0.05),而输尿管中、下段结石两亚组间无明显差异(P>0.05)。结论输尿管镜下气压弹道碎石术安全,有效,损伤小,可作为治疗输尿管中下段结石及体外冲击波碎石失败的输尿管上段结石的有效治疗方法之一。
Objective To evaluate the clinical efficacy of pneumatic lithotripsy under ureteroscope in the treatment of ureteral stones. Methods A total of 317 cases of ureteral stones treated with ureteroscopic pneumatic lithotripsy from January 2004 to January 2010 in our hospital were analysed retrospectively. Results Of 296 sides were treated successfully with the cure rate of 89.97%, and the rate of intraoperative complication was h22% （4/329）, the total stone-free rate was 97.30% （288/296） in successful cases. There was no statistical difference between the group with stone size ≤ 1 cm and 〉1 cm in the curative rate and stone-free rate （P〉0.05）. The group with stone size 〉1 cm achieved a higher rate of intraoperative complications than that with stone size ≤ 1 cm for upper ureteral stones, but there was no statistical difference between them for the middle and lower ureteral stones （P〉0.05）. Conclusions The treatment of ureteral stones with ureteroscopic pneumatic lithotripsy was safe, effective and less invasive. This method should be a good choice for patients with mid-lower ureteral stones and the patients with ureteral stones who failed in extracorporeal shock wave lithotripsy.
出处
《中华腔镜泌尿外科杂志（电子版）》
2012年第5期31-34,共4页
Chinese Journal of Endourology(Electronic Edition)
