弹道碎石联合体外冲击波碎石治疗输尿管结石

Treatment of ureteral stones by pneumatic lithotripsy combined with ESWL

目的 探讨气压弹道碎石术联合体外冲击波碎石 (extracorporealshockwavelithotripsy,ESWL)治疗输尿管结石的临床价值。 方法 采用气压弹道碎石术联合ESWL治疗输尿管结石 36 5例。 结果 36 5例中 ,36 0例 ( 98 6 % )成功 ,2例失败(改开放手术 ) ,3例输尿管穿孔。 80例配合ESWL。术后 2周复查 ,结石均排净。 结论 气压弹道碎石术联合ESWL治疗输尿管结石具有疗效高 ,损伤小 。

Objective To explore the therapeutic efficacy of pneumatic lithotripsy combined with extracorporeal shock wave lithotripsy (ESWL) in patients with ureteral stones. Methods Pneumatic lithotripsy combined with ESWL was employed in the treatment of 365 cases of ureteral stones. Results Of the 365 cases,the operation succeeded in 360 cases and failed in 2 cases,and ureteral perforation occurred in 3 cases.ESWL was required in 80 cases after pneumatic lithotripsy. Conclusions Pneumatic lithotripsy combined with ESWL offers advantages of high efficacy,minimal invasion and broad indications.