输尿管镜术治疗输尿管结石临床观察

Clinical investigation on ureteroscopy for treatment of ureteral stones

目的探讨输尿管镜术治疗输尿管结石的临床效果。方法对456例输尿管结石患者采用输尿管镜术治疗的情况进行回顾性分析。结果2例输尿管镜置入失败,输尿管镜置入成功率为99.6%(454/456);8例结石未能击碎,腔内碎石成功率为92.7%(421/454)。输尿管穿孔2例。结论输尿管镜术治疗输尿管结石疗效确切、痛苦小、恢复快,是治疗输尿管结石较为满意的方法。

Objective: To evaluate ureteroscopy for the treatment of ureteral stones. Methods: 456 patients with ureteral stones undergoing ureteroscopy were retrospectively analyzed. Results: The successful rate for the insertion of the ureteroscope was 99.6% (454/456) and the placement of the ureteroscope failed in 2 cases. The successful rate of lithotripsy under the ureteroscope was 92.7% (421/454) and lithotripsy failed in 8 cases. There were 2 cases of ureteral perforation. Conclusion: The therapeutic effects of ureteroscopy in the treatment of ureteral stones are reliable, the patients suffer less pain and the recovery after operation is rapid. Ureteroscopy is an idea therapy for ureteral stones.