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输尿管镜下气压弹道碎石治疗输尿管结石(附176例报告)
引用本文:周天贵,董自强,宋兴福,刘幼昆,袁红纲,陈先国. 输尿管镜下气压弹道碎石治疗输尿管结石(附176例报告)[J]. 华中医学杂志, 2009, 33(4): 190-191
作者姓名:周天贵  董自强  宋兴福  刘幼昆  袁红纲  陈先国
作者单位:三峡大学第一临床医学院泌尿外科,宜昌,443000;华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030
摘    要:目的探讨输尿管镜下气压弹道碎石术(URSL)治疗输尿管结石的临床效果。方法回顾性分析176例输尿管镜下气压弹道碎石术治疗输尿管患者的临床资料。结果输尿管下段结石取石成功率为98.4%(120/122);中段成功率为86.8%(33/38);上段为75.0%(12/16),手术失败11例。发生严重手术并发症4例,发生率2.3%(4/176),其中穿孔2例、假道2例。8例术后体外冲击波碎石术治疗成功,2个月内结石均排净。结论只要熟练掌握技术,该方法安全有效,损伤小,对输尿管中、下段结石可作为首选治疗措施。

关 键 词:输尿管镜  气压弹道碎石术  输尿管结石

Treatment of ureteral calculi by pneumatic lithotripsy under ureteroscope:A report of 176 cases
ZHOU Tiangui,DONG Ziqiang,SONG Xingfu,et al.. Treatment of ureteral calculi by pneumatic lithotripsy under ureteroscope:A report of 176 cases[J]. Central China Medical Journal, 2009, 33(4): 190-191
Authors:ZHOU Tiangui  DONG Ziqiang  SONG Xingfu  et al.
Affiliation:ZHOU Tiangui,DONG Ziqiang,SONG Xingfu,et al.Yichang Central People's Hospital,The First College of Clinical Medical Sciences,Three Gorges University,Yichang 443000,China
Abstract:Objective To evaluate the clinical effectiveness of pneumatic ureteroscopic lithotripsy(URSL)in the treatment of ureteral calculi.Methods The clinical data of 176 cases of ureter calculi treated by pneumatic lithotripsy under ureteroscope were analyzed retrospectively.Results In 176 cases of ureteral stone,the successful rate was 98.4%(120/122),86.8%(33/38)and 75.0%(12/16)in lower,middle and upper segments,respectively.Eleven cases had operation failure.The severe complication rate was 2.3%(4/176),including...
Keywords:Ureteroscope  Pneumatic lithotripsy  Ureteral calculi  
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