输尿管硬镜联合气压弹道碎石治疗输尿管结石160例

目的探讨输尿管硬镜联合气压弹道碎石诊断和治疗输尿管结石的适应证、手术技巧、术后并发症处理等临床特点。方法回顾性分析2007年1月～2009年6月使用输尿管硬镜联合气压弹道碎石诊断和治疗的160例输尿管结石患者临床资料,分析手术方式、手术效果、并发症等。结果其中手术成功152例,占95.0%。一次完全碎石成功146例,占91.2%。输尿管上段结石部分或全部进入肾盂后配合体外冲击波碎石治疗6例,占3.7%。2例出现输尿管穿孔并发症,均及时处理获得良好效果(1.3%)。输尿管镜碎石未成功者改开放手术治疗成功。结论输尿管硬镜联合气压弹道碎石诊断和治疗输尿管结石具有简单微创、直观可靠、安全有效等优点,可作为输尿管结石诊治的良好选择,尤其是输尿管中、下段结石的首选治疗方法。

160 CASES OF RIGID URETEROSCOPE COMBINED WITH PNEUMATIC LITHOTRIPSY IN THE TREATMENT OF CALCULI

Objective To explore the indication,technique and evaluation of ureteroscope lithotripsy in the treatment of ureteral stones.Methods 160 patients with ureteral stones were treated by ureteroscopic lithotripsy in our hospital from January 2007 to June 2009.We analyzed operation technique,effect and complications in these cases.Results 152 cases were treated successfully(95.0%).146 cases were healed well by once treatment(91.2%).6 cases whose ureteral stone came into renal pelvis were treated by shock wave su...