输尿管镜气压弹道碎石术麻醉、灌注及排石技巧的探讨（附690例报告）

The investigation on anesthesia, infusion and the skill of removing urinary calculus of using ureteroscope air pressure path lithoclasty： report of 690 cases

目的探讨输尿管镜气压弹道碎石术治疗输尿管结石术中麻醉方法、灌注及排石的技巧。方法应用输尿管镜气压弹道碎石术治疗输尿管结石690例。383例采用单次骶管麻醉，其中、312例术前加用双氯芬酸钠栓剂塞肛强化，术中配合使用呋塞米顺行灌注。结果690例患者中，645例直视下碎石成功，总成功率93．5％，总排石率93．8％。结论输尿管镜气压弹道碎石术治疗结石高效、安全、操作简单，是输尿管结石满意的治疗方法，掌握好麻醉方法、灌注及排石技巧，可提高排石率，降低治疗费用。

Objective To investigate the methods of anesthesia, infusion and the skill of removing urinary calculus for the treatment of ureterolith stones using ureteroseope air pressure path lithoelasty. Methotis Six hundred and ninety ureterolith stone patients using ureteroseope air pressure path lithoelasty, 383 patients were anesthetized by single saero-anesthesia, and the diclofenac sodium suppositories were added in 312 cases to strengthen the anesthesia effects. Antegrade perfusion with furosemide in the operation was used. Results Broken the stones in orthophoria were successful in 645 patients, the total success rate was 93.5% and the total rate of removing urinary calculus was 93.8%. Conclusions Ureteroseope air pressure path lithoelasty is high efficiency, safety and easy manipulation. It is a satisfactory method for the treatment of ureterolith stones, and the correct method of anesthesia and infusion perfect skill of removing urinary calculus can improve the rate of removing urinary calculus and decrease the costs.