摘要
目的探讨输尿管镜下气压弹道碎石术治疗输尿管结石的临床效果.方法采用输尿管镜下气压弹道碎石术治疗输尿管结石105例.男38例,女67例,平均年龄41岁.结石位于输尿管上段6例,中段24例,下段75例.结石横径3～15 mm,纵径4～25 mm.结果碎石成功率96%(101/105),均一次碎石成功,术中置镜失败3例,发生输尿管穿孔1例.术后1个月内结石排净96例.98例随访1～6个月未发现输尿管狭窄.结论输尿镜镜下气压弹道碎石术治疗输尿管结石创伤小、成功率高、并发症少.
Objective To evaluate transureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods 105 cases of ureteral calculi treated with ureteroscopic pneumatic lithotripsy. There were 38 male patients and 67 female with an average age of 41.6 cases were upper ureteral stone,24 cases were middle and 75 cases were lower ureteral stone. The transverse diameter of the stones was 3～15mm and the vertical lengh 4 ～25mm. Resuits The stone fragmentation rate was 96 % （101/105） and all was achieved on one traetment session. The main complications were failure to insert the ureteroscope in 3 cases and ureteral perforation in 96 cases were stone free within one month. 98 cases were follow-up for one to six months without ureteral stricture. Conclusion Treatment of ureteral calculi by transureteroscopic pneumatic lithotripsy has been safe,effective and less invasive.
出处
《中国基层医药》
CAS
2005年第8期1021-1022,共2页
Chinese Journal of Primary Medicine and Pharmacy
