输尿管镜气压弹道碎石术治疗输尿管结石412例报告

目的：探讨输尿管镜（URS）气压弹道碎石术治疗输尿管结石的临床疗效。方法：采用URS取石或配合气压弹道碎石术治疗输尿管结石患者412例。结果：一次性碎石取石成功率为88．3％，其中输尿管上段结石为56．3％（18／32），输尿管中段结石为87．9％（80／91），输尿管下段结石为97．1％（266／274），并发症主要为术后发热（13例），肾绞痛（9例），及血尿等。结论：URS气压弹道碎石术治疗输尿管结石安全有效，损伤小，是治疗输尿管中下段结石的好方法。

Treatment of ureter stones with ureteroscope pneumatic lithotriptor (Report of 412 cases)

Purpose:To evaluate the clinical use of ureteroscope pneumatic lithotrity on the treatment of ureteral stones.Methods:412 Patients with stone in ureter were treated with the above mentioned Lithotriptor.Results:The success rate of the one stage for all patients was 88.3 %( 56.3 % in upper section, 87.9 % in middle section, 97.1 % in lower section ).Conclusions:Treatment of ureteral stone with this method has been safe , effective and less invasive. This method should be the first choice of treatment for the middle and lower ureteral stone.