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目的探讨输尿管镜气压弹道碎石治疗输尿管结石的疗效。方法采用输尿管镜气压弹道碎石术治疗输尿管结石158例。结果158例输尿管结石一次碎石成功145例(91.7%),失败13例(8.3%),其中6例转开放手术(4例输尿管迂曲、狭窄导致输尿管镜无法到位,2例输尿管穿孔)治愈,7例术中结石移位至肾盂,放置双“J”管,行ESWL治愈。结论尿管镜气压弹道碎石治疗输尿管结石具有创伤小、效力高、疗效确定、无热效应等特点,是目前治疗输尿管结石的一种较为理想的治疗方法,值得推广。
Objective To investigate the efficacy of ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods ureteroscopic pneumatic lithotripsy for the treatment of ureteral calculi in 158 cases. Results One hundred and fifty-eight cases of ureteral calculi were successfully treated by grafting in 145 cases (91.7%) and 13 cases (8.3%) failed. Among them, 6 cases underwent open surgery (4 cases of ureter tortuosity and stenosis resulted in ureteroscopy not being in place and 2 cases of ureter perforation) 7 cases of intraoperative stone metastasis to the renal pelvis, placed double “J ” tube, line ESWL cure. Conclusions Ureteroscopic pneumatic lithotripsy is a more ideal treatment for ureteral calculi with less trauma, higher efficacy, definite curative effect and no thermal effect. It is worth popularizing.