微创技术在输尿管上段结石中的应用(附186例报告)

Application of minimally invasive technology in treatment of ureteral calculi:Report of 186 cases

目的 :探讨经输尿管镜等微创技术治疗输尿管结石的难点、疗效及安全性。方法 :采取经尿道 (URSL)或经皮肾(PCNL)输尿管镜气压弹道碎石术治疗输尿管上段结石 186例。结果 :经尿道原位碎石成功率 81 6 % (14 2 174 ) ,失败率 6 8%(12 174 ) ;URSL +ESWL治疗成功率 11 8% (2 0 174 ) ,总成功率 93 1% (16 2 174 ) ;经皮肾 12例全部成功。结论 :微创技术治疗输尿管上段结石是安全有效的方法 ,但应根据结石及周围组织病变的情况选择治疗术式。

Objective:To evaluate the efficacy and safety of ureteroscope in treating upper ureteral calculi.Methods:186 patients of upper ureteral calculi were treated with the ureteroscopic lithotripsy and percutaneons nepyotithotomy.Results:The success rate of ureteroscopic lithotripsy was 81 6%(142/174),failure rate was 6 8%(12/174),URSL+ESWL was 11 8%(20/174),total success rate was 93 1%(162/174).In the 12 case,stone were successfully removed by percutaneons nepyotithotomy.Conclusions:Minimally invasive technology is a safe and effective approach for upper ureteral calculi.