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输尿管镜下气压弹道碎石治疗输尿管结石的临床分析
引用本文:黄甫初,王良圣,魏鸿蔼. 输尿管镜下气压弹道碎石治疗输尿管结石的临床分析[J]. 临床泌尿外科杂志, 2002, 17(8): 413-414
作者姓名:黄甫初  王良圣  魏鸿蔼
作者单位:广州市第一人民医院泌尿外科,广州,510180
摘    要:目的:总结896例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和操作体会。方法:回顾性分析896例932侧输尿管结石行USRL的临床资料。结果:932侧输尿管结石中,864例治疗成功,成功率为92.7%,并发症发生率为8.7%;上段、中段、下段输尿管结石的治疗成功率分别为65.7%、90.7%和95.8%。结论:URSL的疗效不断得到提高,可作为中、下段输尿管结石的首选疗法。操作中应尽量采用碎石技术而避免频繁套石和钳取;尽量采用输尿管导管作指引而避免应用金属安全导丝;URSL术后不必常规留置双J管作内引流,轻微损伤,留置粗的输尿管导管3-5天已足够。

关 键 词:输尿管结石 输尿管镜 气压弹道碎石术 疗效 手术方法
文章编号:1001-1420(2002)08-0413-02
修稿时间:2001-12-03

linical analysis of pneumatic lithotripsy under ureteroscope or ureteral calculi
HUANG Fuchu WANG Liangsheng WEI Hongai. linical analysis of pneumatic lithotripsy under ureteroscope or ureteral calculi[J]. Journal of Clinical Urology, 2002, 17(8): 413-414
Authors:HUANG Fuchu WANG Liangsheng WEI Hongai
Affiliation:HUANG Fuchu 1 WANG Liangsheng 1 WEI Hongai 1
Abstract:Purpose:To summarize the clinical effects and operating experience of URSL for ureteral calculi.Methods:Retrospectively analyzing the data of 896 cases of URSL for ureteral calculi. Results:The whole successful rate is 92.7 % and the complication rate is 8.7 %. The successful rates for upper, middle and lower ureteral stone are 65.9 %, 90.7 % and 95.8 % respectively. Conclusions:The therapeutic effects of URSL is improving continuously . URSL should be the choice of treatment for the middle and lower ureteral calculi.
Keywords:Ureteral calculi  Ureteroscope  Pneumatic lithotripsy
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