摘要
目的观察输尿管上段结石经输尿管镜气压弹道碎石治疗的疗效。方法回顾性分析经输尿管镜气压弹道碎石治疗的113例输尿管上段结石患者的临床资料。结果 96例原位碎石成功,成功率84.9%;3例改为开放手术,14例部分或全部上移进入肾脏,辅助体外冲击波碎石治疗,术后1个月结石排净率100%。结论输尿管上段结石经输尿管镜气压弹道碎石治疗具有安全、经济、有效、康复快等优点,术后辅助ESWL治疗效果满意,特别是在术前经过两次以上ESWL治疗失败,医院条件尚不具备开展经皮肾手术的情况下,仍可作为一种有效治疗方式之一。
Objective The study aims to discuss the efficacy of transureteroscopic pneumatic lithotripsy （TPL） in the treatment of upper segmental ureteral calculi （UC）. Methods The clinical data from 113 cases of patients with upper segmental ureteral calculi treated by TPL were retrospectively reviewed. Results Among the 113 cases, 96 cases were treated in situ successfully with a recover rate of 84.9%, while 3 cases required open surgery and 14 cases had the stones moving up into the kidneys. By employing the adjuvant extracorporeal shock wave lithotripsy （ESWL）, the total stoneremoval rate reached 100%% on 1 month post treatment. Conclusion Treating UC with TPL was characterized by high safety, more economical approach, high efficacy, rapid recovery and other advantages. The therapeutic outcome of post- treatment adjunctive ESWL was also excellent, especially for the patients had underwent failed ESWL for twice or more before the treatment. In case that the hospital was not qualified to perform percutaneous renal surgery, TPL could still be used as one of the efficacious approaches.
出处
《西部医学》
2013年第2期212-213,共2页
Medical Journal of West China
关键词
输尿管上段结石
输尿管镜
气压弹道碎石
Upper segmental ureteral calculi
Ureteroscopic
Pneumatic lithotripsy
