输尿管镜下气压弹道碎石治疗输尿管结石(附836例报告)

Treatment of ureterolithiasis with ureteroscope: a report of 836 cases

目的:探讨输尿管镜下气压弹道碎石治疗输尿管结石的疗效及方法。方法:对836例采用直接进镜法实施气压弹道碎石术治疗输尿管结石患者的临床资料进行回顾性分析。结果:836例患者经输尿管镜成功取出结石820例,成功率为98%;中下段结石治疗后排出,11例入镜失败而改行开放手术治疗。结论:输尿管镜下气压弹道碎石治疗输尿管结石可作为中、下段输尿管结石的首选疗法。熟练、耐心、轻柔、准确的输尿管镜操作可提高取石成功率,降低并发症的发生。

Objective： Explore ureteroscopy pressure under ballistic gravel in the treatment of ureteral calculi feasibili- ty and method. Methods：836 cases of use direct into the mirror method to carry out air pressure ballistic lithotripsy for the treatment of ureteral calculi patients for clinical data were etrospectively analyzed. Results：820 of 836 patients （98%）were successfully treated with lithotripsy of uretemseope. The proximal ureteral calculiwere moved to renal pelvic and cured by ESWL in 10 cases. Open surgery was the choice after the failure of insertingthe uretemseope in 6 cases. Conclusion： Uret- eroscopy pressure under the treatment of ureteral calculi ballistic gravel as in the period of ureteral stones, the first choice of treatment. Skilled, patience and gentleness, accurate ureteroscopy operation can improve the success rate take stone and re- duce complications.