腔内弹道碎石治疗输尿管结石512例临床分析

Pneumatic lithotripsy for ureterolithiasis:clinical analysis of 512 cases

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效果。方法回顾分析输尿管镜治疗512例输尿管结石患者的临床资料。结果512例患者中有12例输尿管镜放置失败,输尿管镜插入成功率97.7%(500/512);插入成功者中有14例结石未能完全粉碎,腔内碎石成功率97.2%(486/500)。总治疗成功率94.9%(486/512)。结论输尿管镜下气压弹道碎石治疗输尿管结石疗效确切,手术成功率高,并发症少,术后恢复快,是输尿管结石较为满意的治疗方法。

Objective To investigate the therapeutic effects of pneumatic lithotripsy (PL) through ureteroscope in the treatment of ureterolithiasis. Method The clinical application of rigid ureteroscopy in 512 cases were retrospectively analyzed. Results Among the 512 cases, 486 had satisfactory therapeutic effects with the success rate of 94.9%. Failure of ureteroscope insertion occurred in 12 cases, leaving a success rate for the insertion of 97.7% (500/512). During the operations, ureteral stones in 14 cases failed to be eliminated, and the total success rate of PL reached 97.2% (486/500). Conclusion The therapeutic effects of PL through ureteroscope were reliable and safe in the treatment of ureteral stones, with rapid postoperative recovery.