摘要
目的 探讨输尿管镜下气压弹道碎石术治疗输尿管结石的临床效果。 方法 对 30 2例输尿管结石患者采用输尿管镜下气压弹道碎石治疗。男 185例 ,女 117例。平均年龄 4 2岁。结石位于上段 6 8例 ,中段 10 6例 ,下段 12 8例。结石横径 5～ 12mm ,纵径 6～ 2 4mm。 结果 输尿管镜直视下 1次操作成功 2 6 4例 ,成功率 87.4 % ,4～ 6周内结石全部排净。发生并发症 2 0例 ,其中输尿管穿孔 14例 ,采取保守治疗 8例 ,开放手术治疗 6例 ,9例随访 3～ 10个月未发现输尿管狭窄 ;泌尿系感染 6例。 结论 输尿管镜下气压弹道碎石术是治疗输尿管结石的有效方法之一。
Objective To evaluate transureteroscopic pneumatic lithotripsy for the treatment of ureteral stones. Methods Transureteroscopic pneumatic lithotripsy was undertaken for 302 cases of ureteral stones,185 male patients and 117 female with and average age of 42.There were 68 upper ureteral stones,106 middle and 128 lower ureteral stones.The transverse diameter of the stones was 5～12 mm and the vertical length 6～24 mm. Results Successful lithotripsy was achieved on one session in 264 cases ( 87.4%),with the stone completely expelled in 4～6 weeks.Complication occurred in 20,14 of which being ureteral perforation.Conservative treatment was adopted in 8 and open surgery in 6,9 of which have been followed up for 3～10 months without ureteral stricture.4 cases complicated by urinary infection. Conclusions Transureteroscopic pneumatic lithotripsy is an effective means of treating ureteral stones.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第8期537-538,共2页
Chinese Journal of Urology
