输尿管镜下气压弹道碎石治疗输尿管结石的疗效观察

Observation of the effects of the ureteroscope swiss lithoclast in treating ureteral calculus

目的:探讨输尿管镜下气压弹道碎石治疗输尿管结石的临床疗效。方法:回顾性分析比较输尿管上段(41例)、中段(109例)、下段结石患者(187例)的临床资料,所有患者均采用输尿管镜下气压弹道碎石治疗,分析其临床疗效。结果:中、下段结石组手术时间及住院时间短于上段结石组,一次性碎石成功率及清除率高于上段结石组,差异均有统计学意义(均P<0.05);严重手术并发症发生率为2.37%(8/337)。结论:输尿管镜下气压弹道碎石治疗输尿管结石的具有排石容易安全、可靠、有效、排石率高、创伤小、术后恢复快等优点,尤其更适合于中、下段输尿管结石的治疗。

Objective： To explore the clinical curative effect of the ureteroscope swiss lithoclast in treating ureteral calcu- lus. Methods： The clinical data of upper （41 cases）, middle （109 cases） and lower （187 case） ureteral calculus patients were retrospectivly analyzed. All the patients were treated with ureteroscope swiss lithoclast, and the effects of them were analyzed. Results： Operation time and hospital stay time of the middle and lower calcali group were significantly shorter than those of the upper calcali group, one-time success rate and clearance rate of gravel of the middle and lower calcali group were significantly higher than those of the upper calcali group, there were significant differences （all P〈0.05）. The incidence of serious complications was 2.37%（8/337）. Conclusion： The ureteral calculus is treated with the ureteroscope swiss lithoclast, the excellence is safe, reliable, effective, high removing urinary calculus rate, less wound, recover fast after surgery. It is suitable to the middle and lower calcali.