急诊输尿管镜治疗输尿管结石并顽固性肾绞痛的应用价值

Emergency Treatment of Ureteric Stone with Refractoriness Kidneycolicpain by Pneumatic Lithotripsy or Pincers Under Ureteroscope

目的:探讨急诊输尿管镜下取(碎)石术治疗输尿管结石并顽固性肾绞痛的临床应用价值。方法:采用急诊输尿管镜下取(碎)石术治疗输尿管结石并顽固性肾绞痛患者300例,其中上段结石35例,中段结石87例,下段结石178例。较小结石用取石钳取出,较大者用气压弹道碎石。结果:上、中、下段结石治疗成功率分别为74.3%、95.4%、97.75%;未出现输尿管黏膜撕脱、断裂、菌血症等严重并发症。结论:急诊输尿管镜下治疗输尿管结石并顽固性肾绞痛安全有效,损伤小,可作为首选方法之一。

Objective：To evaluate the clinical effect of pneumatic lithotripsy or pincers under ureteroscope in the emergency treatment of ureteric stone. Methods：300 cases of ureterie stone were treated by ureteroscopic pneumatic lithotripsy or pincers. Among them, 35 cases were proximal ureteral calculi, 87 cases were middle ureteral calculi and 178 cases were distal ureteral calculi. Smaller stones removed with stone forceps,larger with pneumatic lithotripsy. Results：The stone free rate was 74.3% in the proximal,95.4% in the middle and 97.75% in the distal ureteral calculi respectively. No obvious complication was happened. Conclusions：The emergency treatment of ureteral calculi by ureteroseope is a safe,effective and less invasive methods, especially for the middle and lower ureteral stones.