【摘要】 目的：探讨输液式灌注气压弹道碎石术治疗输尿管结石的疗效。方法：为120例输尿管结石患者用输液式灌注下输尿管镜气压弹道碎石术治疗。男74例,女46例。9～79岁，平均42.9岁。上段4例，中段34例，下段82例，多发结石5例。结石0.4cm×0.5cm～1.5cm×2.5cm。其中2例女性患者双侧输尿管下段结石，双肾积水并肾功能不全。结果：结石粉碎率96%(115/120)，一次性彻底清除率88.3%(106/120)。结石上移肾盂3例，改行体外震波碎石术(extracorporeal shock wave lithotripsy,ESWL)。2例女性患者双侧输尿管下段结石，双肾积水并肾功能不全，碎石后2周复查肾功能恢复正常。肾积水67例积水消失或改善，1例输尿管戳穿。所有病例2周后复查腹平片，残石排尽。结论：使用输尿管镜局部麻醉下气压弹道碎石术治疗上尿路结石安全有效，创伤小，费用低，处理中、下段输尿管结石最为理想。
【关键词】 输尿管镜外科手术;气压弹道碎石;输尿管结石
Irrigation of transfusion pneumatic lithotripsy through ureteroscope for the treatment of ureteric calculi:with a report of 120 cases
WANG Tuchao,LUO Hong,YANG Shengbang,et al.
Dept.of Urinary Surgery Traditional Chinese Medicine Hospital of Qiandongnan Autonomous Prefectur,Guizhou Province，Kaili 556000，China
【Abstract】 Objective:To evaluate the effects of irrigating transfusion pneumatic lithotripsy through ureteroscope for the treatment of ureteric calculi.Methods:One hundred and twenty cases of ureteric calculi were treated by irrigation of transfusion pneumatic lithrotripsy through ureteroscope.There were 74 male and 46 female,aged 979 years old，mean 42.9 years old.four cases of calculi located in the proximal part of the ureter.34 cases were in middle part;82 cases were in distal part.The size of the calculi was ranged from 0.4cm × 0.5cm to 1.5cm×2.5cm.Two female patients with distal ureteral calculi suffered hydronephrosis bilaterally with renal inadequacy,67 cases suffered ipsilateral hydronephrosis.Results:The overall comminution rate was 96%(115/120),88.3%(106/120) cases were free immediately after one operation.The operations were fail in 3 cases due to the shift of the calculi to the renal pelvis and then diverted to ESWL.Two female cases with distal ureteral calculi who had hydronephrosis bilaterally with renal inadequacy were treated by ureteroscopic lithotripsy,and the renal function of them was recovered 2 weeks later.67 cases of hydronephrosis weve gr
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