摘要
目的:探讨输尿管镜下气压弹道碎石联合体外冲击波碎石(ESWL)用于治疗上尿路结石的疗效。方法:对280例上尿路结石患者采用该法治疗的情况进行回顾性分析。结果:结石总排净率为96.4%(270/280),其中肾铸形结石排净率为86.6%(26/30),输尿管结石排净率为97.6%(244/250),并发症主要为输尿管穿孔及顽固血尿,占4.2%(12/280)。结论:采用此联合方法治疗上尿路结石的排净率高、损伤少、可有效地避免开放手术的痛苦。
Objective： To study the effect of the treatment for upper ureteral calculi with pneumatic lith- otripsy under ureteroscopy combined with extracorporeal shock wave lithotripsy. Method： 280 cases with up- per ureteral calculi were treated their data were reviewed. Result ： The total efficacy rate was 96.4% （ 270/ 280 } , the efficacy rate of staghorn renal calculi was 86.6% （26/30） , the efficacy rate of ureterolith calculi was 97.6% { 244/250 } , the major complications were ureteral perforation and obstinate hematuria, the occur rate was 4.2% { 12/280}. Conclusion： The treatment of upper ureteral calculi with pneumatic lithotripsy under ureteroscopy combined with extracorporeal shock wave lithotripsy has a good efficacy rate and minor damages, can effectively avoid the open operation.
出处
《河北医学》
CAS
2009年第1期49-50,共2页
Hebei Medicine
关键词
内窥镜术
肾铸形结石
输尿管结石
碎石术
Endoseopies
Staghorn renal calculi
Ureterolith calculi
Lithotripsy
