输尿管镜下气压弹道碎石治疗输尿管及肾盂结石(附107例报告)

Treatment of ureteral or pelvis calculi by pneumatic lithotripsy under ureteroscope

目的探讨输尿管镜下气压弹道碎石术(URSL)治疗输尿管、肾盂结石的临床应用价值。方法总结107例输尿管镜下气压弹道碎石术治疗输尿管、肾盂结石患者的资料。结果107例患者中95例(其中肾盂结石3例,输尿管上段结石9例)一次碎石成功,成功率87%(95/107);12例未成功(其中肾盂结石3例,输尿管上段结石3例),8例术后体外冲击波碎石术治疗成功,2个月内结石均排净。结论该方法安全,高效,损伤小,可作为输尿管结石的首选方法。

[objective] To evaluate the clinical effect of pneumatic lithotripsy under ureteroscope URSL in the treatment of ureteral or pelvis calculi methods. [Methods] A hundred and seven cases of ureteral or pelvis calculi were treated by ureteroscopic pneumtic lithotripsy. [Results] Lithotripsy was performed successfully on one session in 95 cases with a success rate of 87% （95/107）. The operation were failure in 12 cases. 8 cases was achieved with ESWL. Stones were entirely expelled within 2 months after the proledures. [Conculsion] With minimal invasion and pain, this procedure is safe and effective for ureteral calculi, being probably the treatment of first choice.