输尿管镜手术治疗输尿管结石(附789例报告)

Treatment of ureteral calculi by endourological technique (report of 789 cases)

目的探讨输尿管镜手术治疗不同部位输尿管结石的疗效。方法回顾性分析该科从1999年10月￣2004年7月施行的输尿管镜手术治疗789例输尿管结石的疗效及并发症情况。结果738例原位碎石成功,成功率为93.54%(其中上段70.58%,中段95.78%,下段97.65%),经1～3个月的追踪复查,结石排净率93.00%。总的并发症发生率为3.55%。结论输尿管镜术治疗输尿管结石损伤小、疗效好,是治疗输尿管中下段结石的首选方法。

[Objective] To evaluate the endourological technique in the treatment of ureteral calculi. [Methods] 789 cases with ureteral calculi were treated by endourological technique from October 1999 to July 2004. [Results] 738 cases were treated successfully in situ with the rate of 93.54% (70.58% in upper ureter, 95.78% in middle ureter, 97.65% in lower ureter) and the stone free rate with in 3 months was 93.00%. The complication rate was 3.55%. [Conclusions] The treatment of ureteral calculi using endourological technique is a safe, effective and easy handling. It should be the first therapeutic choice for the middle and lower ureteral calculus.