输尿管镜气压弹道碎石治疗输尿管结石的体会

目的:探讨输尿管镜下气压弹道碎石治疗输尿管结石的疗效。方法:统计接受输尿管镜下气压弹道碎石术的88例患者的治疗情况,比较输尿管不同部位结石的一次性碎石成功率,分析疗效以及影响疗效的因素,总结手术的不良反应。结果:一次性碎石成功率为95.45%,输尿管中上段结石的碎石成功率低于下段结石,比较差异有统计学意义(P<0.05)。影响碎石成功率的主要因素为结石上移、输尿管开口狭窄、输尿管镜无法进入输尿管。术后3个月,在获得随访的病例中仅4%～6%的患者有轻微腰腹部隐痛,或患侧肾盂少量积液,且大多很快缓解。结论:输尿管镜下气压弹道碎石术治疗输尿管结石安全有效,可作为中下段输尿管结石的首选治疗方法。

Pneumatic lithotripsy under ureteroscope for ureteral calculi clinic analysis

Objective:To explore the effect of pneumatic lithotripsy under ureteroscope(PLU) on ureteralcalculi.Methods:Collected data of 88 cases with ureteral calculi treated by PLU,compared different success rates of lithotripsy at one time in different location,and analyzed the efficacy,influencing factors,and sideeffect.Results:The Success rate of lithotripsy at one time was 95.5 %,and the rates at lower and middle section of ureter were significantly higher than upper section(P<0.05).The main influencing factors ...