内镜技术联合气压弹道碎石治疗尿路结石(附460例报告)

Treatment of urinary calculi by means of endoscopic manipulation and pnermatic lithotripsy(report of 460 cases)

目的总结内镜技术联合气压弹道碎石治疗尿路结石的疗效。方法对460例采用内镜下气压弹道碎石治疗的尿路结石病例资料进行回顾性分析。结果28例肾多发性结石并积水病例,采用经皮肾镜气压弹道碎石治疗,一次碎石成功率为82.14%,并发症主要是结石残留;347例输尿管结石病例,采用输尿管镜下气压弹道碎石治疗,成功率为93.37%,并发症主要是输尿管穿孔,发生率为3.17%;66例膀胱结石和19例尿道结石采用膀胱镜或输尿管镜下气压弹道碎石治疗,无并发症发生。结论内镜技术联合气压弹道碎石治疗尿路结石疗效确切、损伤小、安全,是一种很好的腔内泌尿外科碎石方法。

Objective: To evaluate the endoscopic manipulation and pnermatic lithotripsy (PL) in the treantment of urinary calculi. Methods: 460 cases of urinary calculi treated by the endourological PL were reviewed. Results: 28 cases of multiple nephrolithotomy and hydronephrosis were treated by percutaneous nephroscopy, 82.14% were succeed in one treatment, complications mainly remains stone. 347 cases of ureteral calculi were treated by ureteroscope and PL, 93.37% were succeed, complications mainly occured ureteral fenestration, it were observed in 3.17%. 66 cases of bladder calculi and 19 cases of ureteroscope calculi were treated by Cystocope or ureteroscope and PL,no complication occurred. Conclusions: The endoscopic manipulation and PL is an excellent treatment modality for urolithiasis, treatment of urinary calculi has the advantages of effective method, minimal invasion and safety.