门诊局麻下输尿管镜碎石术治疗效果分析

Analysis of the Effect of Out-patient Ureteroscopy Lithotripsy under Local Anesthesia

【目的】探讨门诊局麻下输尿管镜碎石术的可行性、适应证及禁忌证。【方法】对78例输尿管结石患者行门诊局麻下输尿管镜气压／激光碎石术治疗，对，临床效果进行综合性分析。【结果]67例成功碎石，碎石成功率85．9％，5例不能耐受疼痛，3例结石移位，3例输尿管狭窄进镜失败。患者疼痛耐受率93．6％，转住院率3．85％，满意率92．3％，平均疼痛评分1．37分，无严重并发症发生。【结论】对适当的患者可在门诊局麻下行输尿管镜碎石术。

[Objective]To assess the feasibility, indication and eontraindieation of out-patient ureteroscopy lithotripsy under local anesthesia. [Methods]The outcomes of 78 cases of out patient ureteroscopy lithotripsy under local anesthesia were analyzed. [Results]Among 78 cases, 67 cases succeeded in lithothrypsis, 5 cases couldn＇t tolerate pain, 3 cases＇ calculi translocated and 3 cases failed in inserting the ureteroscope for ureteral stricture. The ratio of pain tolerance was 93.6%, the achievement ratio of lithotripsy was 85.9%, the ratio of re-admission was 3.85%, the ratio of satisfaction was 92.3% and average pain score was 1.37. No severe complications happened. [Conclusion]It is safe and effective to treat some proper patients with ureteral calculi by out-patient ureteroscopy lithotripsy under local anesthesia.