摘要
【目的】探讨输尿管镜气压弹道碎石术治疗尿路结石的疗效。【方法】回顾性分析2003年1月至2005年4月接受输尿管镜气压弹道碎石治疗的101例尿路结石患者。其中双肾结石4例,一侧肾结石合并对侧输尿管结石15例,双输尿管结石10例,一侧输尿管结石68例,膀胱结石3例,尿道结石1例。合并急性肾功能不全4例,孤立肾合并上尿路结石1例,体外冲击波碎石术(ESWL)后石街形成6例。【结果】101例中,腔内碎石成功87例,占86.1%。碎石失败14例,占13.9%,其中6例为肾结石经皮肾穿刺不成功,5例输尿管结石因输尿管镜进镜困难而改开放手术,3例输尿管中段结石因移位至肾盂内而留置双J管后行ESWL治愈。4例急性梗阻性肾功能不全患者,碎石术后2周复查肾功能恢复正常。【结论】输尿管镜气压弹道碎石术治疗尿路结石具有微创、安全、恢复快等特点,可作为尿路结石的首选方法。
[Objective]To evaluate transureteroscopic pneumatic lithotripsy in the treatment of urinary calculi. [Methods]One hundred and one cases of urinary calculi treated with ureteroscopic pneumatic lithotripsy from Jan. 2003 to Apr. 2005 were studied retrospectively. Four cases were bilateral renal calculi, 15 cases renal calculus with ureteral calculus in opposite side, bilateral 10 cases ureteral calculi ,68 cases ureteral calculus in one ureter,3 cases bladder calculus,1 case urethral calculus. Four cases with bilateral upper ureteral calculus had acute obstructive renal insufficiency, and one case had upper ureteral stone with solitary kidney, six cases had ＂stone street＂ following ESWL. [Results]The stone fragmentation rate was 86.1%（87/ 101） on the first treatment session. Fourteen cases were failed. They were failed to establish the tract for percutaneous nephrolithotripsy in 6 cases, to insert the ureteroscope in 5 cases. Eleven cases of them were changed to open surgery. The other 3 cases with mid-ureteral stones which displaces to the renal pelvis during ureteroscopy, were treated by ESWL after insertion of double J catheter. The renal function recovered to normal after treatments in the four cases with acute obstructive renal insufficiency. [Conclusion]Treatment of urinary calculi by ureteroseopie pneumatic lithotripsy is safe, effective and less invasive. This method should be the first choice of treatment for urinary calculi.
出处
《医学临床研究》
CAS
2007年第8期1336-1338,共3页
Journal of Clinical Research
