输尿管镜下气压弹道碎石术治疗输尿管结石629例

目的探讨输尿管镜下气压弹道碎石治疗输尿管结石的临床疗效。方法回顾分析使用输尿管镜气压弹道碎石治疗629例输尿管结石患者的临床资料。结果 629例患者中一次碎石成功率93.8%,拔除双J管前复查结石均完全排出。12例置镜失败,15例输尿管上段结石移位到肾脏,输尿管穿孔7例,术后泌尿系感染5例,无输尿管撕脱发生。结论输尿管镜气压弹道碎石术治疗输尿管结石是一种安全、有效的方法,尤其可作为输尿管中、下段结石的首选治疗方法。

Treatment of ureteral calculi with ureteroscopic pneumatic lithotripsy

Objective To evaluate the efficacy of pneumatic lithotripsy under ureteroscopy for the treatment of ureteral calculi.Methods 629 patients of ureteral calculi treated with ureteroscopic pneumatic lithotripsy were analyzed.Results Among the 629 cases,ureteroscopic pneumatic lithotripsy success rate was 93.8%,with the stones completely expelled before double-J stent was withdrawn.12 cases the ureteroscope failed to be inserted into the ureter.15 cases the upper ureteral calculi moved to renal pelvis.7 cases the ureteral perforation happened.And 5 cases had urinary tract infection.No patient had ureteral mucous membrane avulsion.Conclusions Treatment of ureteral calculi with ureteroscopic pneumatic lithotripsy is safe and effective.