摘要
目的分析输尿管镜下气压弹道碎石治疗输尿管结石的临床效果。方法总结350例输尿管中下段结石患者接受输尿管镜下气压弹道碎石术的手术时间、术后住院日、并发症及处理方法。结果 350例输尿管镜下气压弹道碎石术治疗输尿管结石平均手术时间为42.66分钟,术后平均住院日约5.36天,发生严重并发症例数共8例(2.2%),其中因输尿管狭窄无法进镜2例(0.5%),中转开放手术,术后恢复良好。术中输尿管穿孔1例(0.2%),术后予拔出双J管,给予止血对症治疗后恢复良好。术中输尿管结石逃逸至肾脏1例(0.2%),后患者出院未随访。术后出现肾脏包膜下血肿1例(0.2%),给予腹带加压、输血等对症保守治疗后1月出院。术后严重尿路感染症状2例(0.5%),均予比阿培南针抗炎治疗1周后症状好转,后顺利出院。术后双J管位置欠佳引起严重肾绞痛1例(0.2%),给予膀胱镜下调整双J管位置后患者肾绞痛症状消失。结论输尿管镜下气压弹道碎石是治疗中下段输尿管结石的理想方法,手术时间短,术后恢复快,其严重并发症较少见,大多数可保守治疗。
Objective To evaluate the efficacy of the pneumatic lithotripsy through ureteroscope in the process of treating ureteral calculi. Method 350 cases of middle and lower ureteral calculi who were treated with pneumatic lithotripsy were collected. The length of operation time,post-operative hospitalization duration,the complications and the treatment for the complications were analyzed. Findings The mean operation time length was 42. 66 minutes and the mean post-operative hospitalization duration was 5. 36 days. 8 cases had severe complications including 1 case of failure to ureteroscope position,1 case of ureteral perforation,1 case of calculi translocation to kidney,1 case of subcapsular renal hematoma and2 cases of severe urinary tract infection. All of the complications had a good prognosis after symptomatic treatment.Conclusion The technique of ureteroscopic pneumatic lithotripsy can serve as an effective approach for the treatment of ureteral calculi as it ensures shorter operation time,fewer complications and quick recovery.
出处
《健康研究》
CAS
2016年第3期270-271,275,共3页
Health Research
关键词
输尿管镜
气压弹道碎石
中下段结石
并发症
ureteroscope
pneumatic lithotripsy
calculi in middle and low ureteral tract
complications
