输尿管镜气压弹道碎石术治疗输尿管结石472例分析.PDF

重庆医学2007 年11 月第36 卷第2 1 期 2189 # # 472 庄红雨, 姜永光, 王俊生 ( 首都医科大学附属北京安贞医院泌尿外科 100029) : 总结输尿管镜气 弹道碎石术治疗输尿管结石的疗效经验及操作技巧 回顾性分析472 例输尿管镜 气 弹道碎石术治疗输尿管结石的患者资料 碎石成功率 91. 10% ( 4 30/ 472) , 33 例结石移位至肾盂而行体外震波碎石 术, 操作失败9 例输尿管损伤 16 例, 其中黏膜下假道形成8 例, 穿孔5 例, 部分断裂3 例术后1 个月结石排净414 例, 结石排 净率87 . 7 1% 输尿管镜气 弹道碎石术创伤小, 成功率高, 掌握好手术适应证及术中操作技巧, 辅以体外震波碎石及其 他治疗手段, 可最大限度减少并发症, 提高结石排净率 : 输尿管镜; 输尿管结石; 气 弹道碎石术 : R693 . 4 : A : 167 1- 834 8( 2007) 21- 2189- 02 Treatment of ureteral calculi with ureteroscopic pneumatic lithotripsy ZH UA N G H ong-y u, J I A N G Yong-g ua ng , WA N G J un-sh e ng ( D ep ar tme nt of Ur olog y , B e i ing A nz he n h osp ital , B e i ing 100029, China) Abstract: Objective T o summarize he clinical experience o f he rea men of ur e eral calculi w i h ure ero sco pic pneuma ic li h- o ripsy . Methods 472 cases o f u e eral calculi w ere ana lysed . Results T he ov erall comminu ion ra e w as 91. 10 % ( 4 30cases) . T he opera io n f ailed in 33 cases due o he shif of he s ones o he renal pelv is . 16 cases complica ed ure er injur ed including perfo ra- ion , lancina e and sy n hen ic. 4 14 ( 87. 71% ) cases w ere s one free w i hin 1 mon h. Conclusion U r e eroscopic pneuma ic li ho rip- sy is an eff ec ive me ho d for r ea ing ure eral calculi, w i h advan age of high eff ec ive, saf e y , minimal inv asion and simplici y o f per- fo rmance. T o mas er opera ing indica ion s ric ly , r aise opera ing echnique and combined u se of ESWL could raise success ra io. Key words: ur e eroscope; ure er al calculi; pneuma ic li ho ripsy 1999 12 ~ 2006 5 , 1 , , ( U RSL ) 47