输尿管镜气压弹道碎石术麻醉、灌注及排石技巧的探讨(附690例报告)

目的 探讨输尿管镜气压弹道碎石术治疗输尿管结石术中麻醉方法、灌注及排石的技巧.方法 应用输尿管镜气压弹道碎石术治疗输尿管结石690例.383例采用单次骶管麻醉,其中312例术前加用双氯芬酸钠栓剂塞肛强化,术中配合使用呋塞米顺行灌注.结果 690例患者中,645例直视下碎石成功,总成功率93.5%,总排石率93.8%.结论 输尿管镜气压弹道碎石术治疗结石高效、安全、操作简单,是输尿管结石满意的治疗方法,掌握好麻醉方法、灌注及排石技巧,可提高排石率,降低治疗费用.

The investigation on anesthesia,infusion and the skill of removing urinary calculus of using ureteroscope air pressure path lithoclasty:report of 690 cases

Objective To investigate the methods of anesthesia,infusion and the skill of removing urinary calculus for the treatment of uretemlith stones using ureterescope air pressure path lithoclasty.Methods Six hundred and ninety ureterolith stone patients using ureterescope air pressure path lithoclasty,383 patients were anesthetized by single sacro-anesthesia,and the diclofenac sodium suppositories were added in 312 cases to strengthen the anesthesia effeets.Antegrade perfusion with furosemide in the operation was used.Results Broken the stones in orthophoria were successful in 645 patients.the total success rate Was 93.5%and the total rate of removing urinary calculus was 93.8%.Conclusions Ureteroscope air pressure path lithoclasty is high efficiency,safety and easy manipulation.It is a satinfactory method for the treatment of ureterolith stones,and the correct method of anesthesia and infusion perfect skill of removing urinary calculus can improve the rate of removing urinary calculus and decrease the costs.